DEPARTMENT OF INSURANCE

Name	Cypress Benefit Administrators (Lhs) LLC	DOIID	1032509	NAIC NPN	18511602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Administrator	Not Applicable	3/13/2019	3/31/2021

*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	5560 W. Grande Market Drive Appleton, WI 54913

Internet Information

Type	Address
Business Email	mike.mir@lucenthealth.com

Phone Information

Type	Phone
Business / Home Office	(887) 236-0844