DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Affinityltc LLC	DOIID	764372	NAIC NPN	9057244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2011		3/31/2025
Active	Non Resident	Agent	Life	9/22/2011		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hensley, Steven Andrew	873190	Agent - Health	1/11/2017
Active	Hensley, Steven Andrew	873190	Agent - Life	1/11/2017
Inactive	Vangavree, Michael S	743192	Agent - Health	9/22/2011	1/11/2017
Inactive	Vangavree, Michael S	743192	Agent - Life	9/22/2011	1/11/2017