DEPARTMENT OF INSURANCE

Name	Platinum Enrollment Specialists LLC	DOIID	980990	NAIC NPN	17295409

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	Life	1/9/2018	3/8/2021
Inactive	Non Resident	Agent	Health	1/9/2018	3/8/2021

*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	4512 Farragut Road Brooklyn, NY 11203

Internet Information

Type	Address
Business Email	sfeuer@platinumenrollments.com

Phone Information

Type	Phone
Business / Home Office	(551) 225-8500