DEPARTMENT OF INSURANCE

Name	National Individual Insurance Agency, Llc	DOIID	1049053	NAIC NPN	18126287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Life	7/29/2019		3/31/2027
Active	Non Resident	Agent	Health	7/29/2019		3/31/2027

*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	03/25/2025	03/25/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	2305 Ridge Rd Ste 203 Rockwall, TX 750875163

Internet Information

Type	Address
Business Email	pbruner@ahcminc.com

Phone Information

Type	Phone
Business / Home Office	(817) 704-7451