DEPARTMENT OF INSURANCE

Name	Executive Insurance Agency Inc.	DOIID	398898	NAIC NPN	7221253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Health	4/4/1991	3/12/2001
Inactive	Resident	Agent	Life	4/4/1991	3/12/2001

*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.

Address Information

Type	Address
Business / Home Office	P. O. Box 5427 Louisville, KY 40205