DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Optima Senior Health Division LLC	DOIID	650232	NAIC NPN	9076055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/27/2007	3/31/2009
Inactive	Non Resident	Agent	Life	2/27/2007	3/31/2009
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	North, Timothy Owen	514133	Agent - Health	2/27/2007	3/31/2009
Inactive	North, Timothy Owen	514133	Agent - Life	2/27/2007	3/31/2009