DEPARTMENT OF INSURANCE

Name	Powell Benefits Group LLC DBA : Powell Insurance Services	DOIID	1408352	NAIC NPN	21130616

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	7/1/2025		3/31/2027
Active	Non Resident	Agent	Life	7/1/2025		3/31/2027

*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	3654 Oglebay Drive Green Cove Springs, FL 32043

Internet Information

Type	Address
Business Email	BROCK@POWELLBENEFITSGROUP.COM

Phone Information

Type	Phone
Business / Home Office	(912) 800-3131