DEPARTMENT OF INSURANCE

Name	Policy Chart Insurance Services Llc	DOIID	1136163	NAIC NPN	19920790

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	Health	5/25/2021		3/31/2025
Active	Non Resident	Agent	Life	5/25/2021		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

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

Address Information

Type	Address
Business / Home Office	20 E Thomas Rd Ste 2200 Phoenix, AZ 850123133

Phone Information

Type	Phone
Business / Home Office	(602) 800-5700