DEPARTMENT OF INSURANCE

Name	NCMIC Insurance Services, Inc.	DOIID	399052	NAIC NPN	2109424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	6/29/2005		3/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2025
Active	Non Resident	Agent	Health	4/5/2002		3/31/2025
Active	Non Resident	Agent	Life	4/5/2002		3/31/2025
Active	Non Resident	Agent	Property	8/15/2000		3/31/2025
Inactive	Non Resident	Agent	General Lines	8/6/1999	8/15/2000

*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	14001 University Ave Clive, IA 503258258
Mailing	14001 University Ave Clive, IA 503258258

Phone Information

Type	Phone
Business / Home Office	(515) 313-4500