DEPARTMENT OF INSURANCE

Name	Health Insurance By Design, LLC	DOIID	1099342	NAIC NPN	19577151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	9/21/2020	3/31/2022
Inactive	Non Resident	Agent	Health	9/21/2020	3/31/2022

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

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

Address Information

Type	Address
Business / Home Office	1200 Bell Lane Suite DNew Albany, IN 47150

Internet Information

Type	Address
Business Email	KJM@HIBYDESIGN.COM

Phone Information

Type	Phone
Business / Home Office	(812) 948-1581