DEPARTMENT OF INSURANCE

Name	Humana Ins Co (TPA)	DOIID	533960	NAIC NPN	7885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	10/13/2010		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
Administrator	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	1100 Employers Blvd. Green Bay, WI 54344

Phone Information

Type	Phone
Business / Home Office	(800) 664-4140