DEPARTMENT OF INSURANCE

Affiliations

Name	HCG Vita Insurance Services LLC	DOIID	1029033	NAIC NPN	19035807

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/15/2019		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colis, Peter George	931524	Agent - Life	2/15/2019	8/7/2019
Active	Penabad, Jose Novel	1046959	Agent - Life	8/7/2019