DEPARTMENT OF INSURANCE
Affiliations
NameSRC Benefits Group Ltd. Co.DOIID685857NAIC NPN3379744
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/3/20083/31/2012 
InactiveNon ResidentAgentLife10/3/20083/31/2012 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveElips Life Insurance Company301087Agent - Health10/9/20081/6/2012
InactiveElips Life Insurance Company301087Agent - Life10/9/20081/6/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCox, Thomas Joseph 392393Agent - Health10/3/20083/31/2012
InactiveCox, Thomas Joseph 392393Agent - Life10/3/20083/31/2012

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