DEPARTMENT OF INSURANCE

Name	Corporate One Benefits Agcy Inc	DOIID	607836	NAIC NPN	2425598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	4/29/2005	11/7/2018
Inactive	Non Resident	Agent	Health	4/29/2005	11/7/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	220 Perry St Ste 200 Fostoria, OH 44830

Internet Information

Type	Address
Business Email	rburns@corporateonebenefits.com
Internet	www.corporateonebenefits.com

Phone Information

Type	Phone
Business / Home Office	(419) 436-4085