Agency Information

NATIONAL VISION ADMINISTRATORS LLC

Address:

1200 RT 46 W

CLIFTON, NJ 07013

Phone

973-574-2400

URL:

Email:

licensing@benecard.com

National Producer Number:

8297230

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	561550	09/27/2007	Active	12/09/2019	12/31/2025
Non-Res. Third Party Admin.	667200	10/01/2009	Active	10/01/2009	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/27/2007	Active	12/09/2019
TPA1 -Life/Health Insurance	10/01/2009	Active	10/01/2009

Company Name	Appointment Type	Status	Active Date
793
FIDELITY SECURITY LIFE INSURANCE COMPANY	Health	Active	10/14/2020
442
Company Name	Appointment Type	Status	Active Date
NATIONAL GUARDIAN LIFE INSURANCE COMPANY	Health	Active	10/14/2020

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
DAVID SETH KARLIN	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1