DEPARTMENT OF INSURANCE

Name	Legacy Direct Benefits, LLC	DOIID	730974	NAIC NPN	15819457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Life	6/23/2010	3/31/2012
Inactive	Resident	Agent	Health	6/23/2010	3/31/2012

*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.

Address Information

Type	Address
Business / Home Office	106 Spring Street P.O. Box 339Auburn, KY 42206

Internet Information

Type	Address
Business Email	acostellow@legacydb.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(270) 792-9494