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Details for SHORT, DOUGLAS JAY

Agent Details
Name
SHORT, DOUGLAS JAY 
Address
BENICOMP INC 8310 CLINTON PARK DR FORT WAYNE, IN 46825-3171 
Business Phone
(260) 482-7400 
Internet
 
Email
CGELLER@BENICOMP.COM  
Status
Active 
Issue Date
Feb 20, 2003 
License Status Expires Number
Non-Resident Producer Active Mar 31, 2023 198953
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Feb 20, 2003
      Accident & Health Inactive Issued: Feb 20, 2003
Agency Affiliations City State License Number Active Date Status
BENICOMP INC FORT WAYNE IN 276204 Jan 26, 2021 Active
BENICOMP INC FORT WAYNE IN 103197 Jan 26, 2021 Active
Company Affiliations City State Type Active Date
PAN-AMERICAN LIFE INSURANCE COMPANY NEW ORLEANS LA Life Aug 07, 2017
PAN-AMERICAN LIFE INSURANCE COMPANY NEW ORLEANS LA Accident and Hlth or Sickness Aug 09, 2018