DEPARTMENT OF INSURANCE

Name	Aetna Student Health Agency Inc	DOIID	521725	NAIC NPN	963962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	2/20/2001	2/1/2007
Inactive	Non Resident	Agent	Health	2/20/2001	10/8/2019

*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	77 South Bedford Street Burlington, MA 01803

Internet Information

Type	Address
Internet	www.aetnastudenthealth.com

Phone Information

Type	Phone
Business / Home Office	(781) 219-9100