DEPARTMENT OF INSURANCE

Name	National Benefits Brokerage, LLC	DOIID	615215	NAIC NPN	8561402

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	Health	9/6/2005	8/13/2025
Inactive	Non Resident	Agent	Life	9/6/2005	8/13/2025

*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	1881 Dixie Highway Suite 130Covington, KY 41011
Mailing	1881 Dixie Highway Suite 130Covington, KY 41011

Internet Information

Type	Address
Business Email	derek@nationalbenefitsbrokerage.com
Internet	www.nationalbenefitsbrokerage.com

Phone Information

Type	Phone
Business / Home Office	(513) 621-4193