Agency Information

PROFILE BENEFITS INC

320 SOUTH SERVICE ROAD, SUITE L

MELVILLE, NY 11747

631-981-7600

drivera@bradley-parker.com

2098884

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3156363	05/05/2016	Active	05/05/2016	05/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	05/05/2016	Active	05/05/2016
Life	05/05/2016	Active	05/05/2016

Name	Association Type	Agent	Begin Date	End Date
KEITH P ZUCKERMAN	Designated Resp Lic Prdcr	Yes	06/11/2024	-
THOMAS M LUCIE	Designated Resp Lic Prdcr	Yes	07/22/2021	-

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