DEPARTMENT OF INSURANCE

Name	Med Cost Benefit Services LLC	DOIID	716194	NAIC NPN	7397165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	10/15/2009		3/31/2027

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025	02/24/2025	02/24/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	145 Kimel Park Drive, Suite 100 Winston Salem, NC 27103
Mailing	PO Box 24042 Winston Salem, NC 271144042

Internet Information

Type	Address
Business Email	slambros@medcost.com
Internet	mbstpa.com

Phone Information

Type	Phone
Business / Home Office	(336) 774-4400