black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CUSTOM BENEFIT PLANS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN222193
Status:
First Licensure:
09/25/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
616 EASTON RD
WILLOW GROVE, PA 19090-2513
Mailing:
616 EASTON RD
WILLOW GROVE, PA 19090-2513
Phone:
+1 (215) 830-8666 x201
Fax:
+1 (215) 830-0908
Email:
mskripko@custombenefitplans.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/25/2013 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/10/2013 HMD45749
AETNA LIFE INSURANCE COMPANY
10/10/2013 LHF621
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
12/02/2022 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
08/28/2023 LHF374 02/28/2025
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/25/2021 LHF214634
CIGNA HEALTH AND LIFE INSURANCE COMPANY
07/19/2022 LHF860
THE CINCINNATI LIFE INSURANCE COMPANY
02/22/2022 LHF75044
GOLDEN RULE INSURANCE COMPANY
09/10/2015 LHF918 04/02/2019
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
09/21/2017 LHF58195
UNITEDHEALTHCARE INSURANCE COMPANY
09/21/2017 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/21/2017 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407
WELLCARE OF MAINE, INC.
12/02/2022 HMD305081 02/10/2025
WELLCARE PRESCRIPTION INSURANCE INC
12/02/2022 LHF121869 02/28/2025

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
SALVATORE DINARDO
09/25/2013 PRN127637

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
SALVATORE DINARDO PRN127637

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2007759

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/15/2025 09:46:52 PM