DEPARTMENT OF INSURANCE

Name	National Collegiate Underwriters & Adm Inc	DOIID	620002	NAIC NPN	2006549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	Health	9/25/2007	3/31/2009

*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	172 Bechtel Rd Collegeville, PA 19426

Internet Information

Type	Address
Internet	www.src-ncua-com
Business Email	mlerch@visit-aci.com

Phone Information

Type	Phone
Business / Home Office	(610) 489-0400