DEPARTMENT OF INSURANCE

Name	Affinity Benefit Solutions LLC	DOIID	695177	NAIC NPN	12346039

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	6/26/2014	3/31/2020
Inactive	Non Resident	Agent	Life	6/26/2014	3/31/2020

*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	Affinity Benefit Solutions LLC 4240 Carmichael RoadMontgomery, AL 36106

Phone Information

Type	Phone
Business / Home Office	(800) 325-9876