DEPARTMENT OF INSURANCE

Name	Masa Insurance Services Inc.	DOIID	1133707	NAIC NPN	19897480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/9/2021		3/31/2027
Active	Non Resident	Agent	Casualty	5/10/2021		3/31/2027
Active	Non Resident	Agent	Property	5/10/2021		3/31/2027
Active	Non Resident	Agent	Health	7/13/2021		3/31/2027
Denied	Resident	Agent	Life
Active	Non Resident	Independent Adjuster	Property & Casualty	5/20/2021		3/31/2027
Active	Non Resident	Managing General Agent	Not Applicable	3/2/2022		3/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/1/2022	4/1/2024

*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
Administrator	01/15/2027	03/31/2027
Agent	01/15/2027	03/31/2027
Independent Adjuster	01/15/2027	03/31/2027
Managing General Agent	01/15/2027	03/31/2027

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

Address Information

Type	Address
Business / Home Office	306 W Main St Suite 512Frankfort, KY 40601

Internet Information

Type	Address
Business Email	LICENSING@MASAGLOBAL.COM

Phone Information

Type	Phone
Business / Home Office	(800) 643-9023