Agency Information

BENISTAR ADMIN SERVICES INC

Address:

10 TOWER LANE

AVON, CT 06001

Phone

203-969-6000

URL:

Email:

sogrady@benistar.com

National Producer Number:

2331916

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3930204	08/21/2023	Active	08/21/2023	08/31/2026
Non-Res. Third Party Admin.	684576	10/01/2009	Active	10/01/2009	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	08/21/2023	Active	08/21/2023
Life	08/21/2023	Active	08/21/2023
TPA1 -Life/Health Insurance	10/01/2009	Active	10/01/2009

Company Name	Appointment Type	Status	Active Date
920
COMPANION LIFE INSURANCE COMPANY	Health	Active	08/23/2023
	Life	Active	08/23/2023
820
Company Name	Appointment Type	Status	Active Date
MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Health	Active	09/19/2023

row(s) 1 - 3 of 3

Name	Association Type	Agent	Begin Date	End Date
DONALD J TRUDEAU	Designated Resp Lic Prdcr	No	08/21/2023	-

1 - 1