DEPARTMENT OF INSURANCE

Name	Tri-State Senior Solutions Inc	DOIID	729041	NAIC NPN	8659060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/8/2010	3/31/2012
Inactive	Non Resident	Agent	Health	6/8/2010	3/31/2012
Denied	Non Resident	Life & Health Consultant	Not Applicable
Denied	Non Resident	Property & Casualty Consultant	Not Applicable

*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	1744 Brenda Dr Newburgh, IN 476308126

Phone Information

Type	Phone
Business / Home Office	(812) 480-3181