DEPARTMENT OF INSURANCE

Name	Decamp, Richard E	DOIID	389665	NAIC NPN	2518449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/19/2010	10/31/2014
Inactive	Non Resident	Agent	Life	2/19/2009	10/31/2014
Inactive	Non Resident	Agent	Health Maintenance Organization	8/27/1987	3/1/2001

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	411 Terrace Place Terrace Park, OH 45174

Phone Information

Type	Phone
Business / Home Office	(513) 831-6208