DEPARTMENT OF INSURANCE

Name	Mollozzi, Benjamin Vogt	DOIID	730661	NAIC NPN	15814876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Casualty	7/9/2010	11/1/2012
Inactive	Resident	Agent	Property	7/9/2010	11/1/2012

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	5275 Madison Pike Independence, KY 41051
Mailing	Universal Underwriters Inc. P.O. Box 308Independence, KY 41051

Phone Information

Type	Phone
Business / Home Office	(859) 356-3126