Individual Information

JEFFREY W BENIK

Address:

RENO, NV 89511

Status:

Active

Email:

jbcb4lf@charter.net

Date:

05/04/1990

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	28661	10/01/2001	Active	10/01/2001	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Casualty	05/04/1990	Inactive	10/01/2001
Health	05/04/1990	Inactive	10/01/2001
Life	05/04/1990	Inactive	10/01/2001
Property	05/04/1990	Inactive	10/01/2001
Var. Annuities/Var. Life	05/04/1990	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	01/16/2025
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	01/15/2025
	Property	Active	01/15/2025
1772
Company Name	Appointment Type	Status	Active Date
OBSIDIAN INSURANCE COMPANY	Casualty	Active	03/05/2025
	Property	Active	03/05/2025

row(s) 1 - 5 of 5

Organization	Association Type	Type	Beg dte	End dte
ASC AGENCY PARTNERS LLC	Designated Resp Lic Prdcr	Agency	04/30/2024	-

1 - 1