DEPARTMENT OF INSURANCE

Name	HealthSource LLC	DOIID	548251	NAIC NPN	7223502

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	4/15/2002	3/31/2012
Inactive	Resident	Agent	Life	4/15/2002	3/31/2012

*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	7614 W Highway 146 Pewee Valley, KY 40056

Phone Information

Type	Phone
Business / Home Office	(502) 241-6400