DEPARTMENT OF INSURANCE

Name	Capital Benefits Group LLC	DOIID	670142	NAIC NPN	9582351

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	10/26/2010	3/31/2013
Inactive	Non Resident	Agent	Life	10/26/2010	3/31/2013

*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	109 West Park Dr. Suite 200 Brentwood, TN 37027

Internet Information

Type	Address
Business Email	jthompson@capitalbenefitsgroup.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(615) 829-5600