DEPARTMENT OF INSURANCE

Name	CBC Benefit & Insurance Services DBA : Custom Benefits Consultants, Inc	DOIID	700642	NAIC NPN	1907991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Life	4/15/2009		3/31/2027
Active	Non Resident	Agent	Health	4/15/2009		3/31/2027

*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	3295 N Fort Apache Rd Ste 150 Las Vegas, NV 891290209

Internet Information

Type	Address
Business Email	cjohnson@cbcvip.com

Phone Information

Type	Phone
Business / Home Office	(800) 309-9029