DEPARTMENT OF INSURANCE

Affiliations

Name	Foundation Benefits Administrators, Inc.	DOIID	594485	NAIC NPN	7598654

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/1/2004	11/9/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cline, Glenna Sue	556342	Administrator - Not Applicable	10/1/2004	11/9/2009
Inactive	Sakos, Mary Catherine	592494	Administrator - Not Applicable	10/1/2004	11/9/2009