DEPARTMENT OF INSURANCE

Name	Specialized Benefit Plans	DOIID	596682	NAIC NPN	2099539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life		3/23/2007
Inactive	Non Resident	Agent	Health		4/22/2007

*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	6612 E 75th St Suite 200Indianapolis, IN 46250
Mailing	6612 E 75th St Suite 200Indianapolis, IN 46250

Phone Information

Type	Phone
Business / Home Office	(317) 578-7128