DEPARTMENT OF INSURANCE

Name	E Benefits Insurance Agency, LLC	DOIID	615086	NAIC NPN	8580095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	7/5/2006	3/3/2008
Inactive	Non Resident	Agent	Life	9/27/2005	3/31/2007
Inactive	Non Resident	Agent	Health	9/27/2005	3/31/2007

*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
Mailing	303 E. South Temple Salt Lake City, UT 84111
Business / Home Office	303 E. South Temple Salt Lake City, UT 84111

Internet Information

Type	Address
Business Email	ahummel@nationalbenefits.com - Bad Email-Correction requested
Internet	www.ebenefits.com

Phone Information

Type	Phone
Business / Home Office	(801) 478-1700