DEPARTMENT OF INSURANCE

Name	Healthsmart Benefit Solutions Inc	DOIID	396190	NAIC NPN	2014599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/6/1997	3/31/2027
Active	Non Resident	Agent	Life	12/27/2011	3/31/2027
Active	Non Resident	Agent	Health	12/27/2011	3/31/2027
Denied	Non Resident	Independent Adjuster	Workers' Compensation
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	9/19/2018	3/31/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025	03/17/2025	03/17/2025	Yes
Agent	01/15/2025	03/31/2025	03/17/2025	03/17/2025	Yes
Independent Adjuster	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	1311 W. President George Bush Hwy Richardson, TX 75080

Internet Information

Type	Address
Business Email	kerick9@uhc.com

Phone Information

Type	Phone
Business / Home Office	(214) 574-3546