DEPARTMENT OF INSURANCE

Name	Versa Management LLC	DOIID	1044657	NAIC NPN	18776404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	4/24/2020		3/31/2027
Inactive	Non Resident	Agent	Life	6/19/2019	9/17/2023

*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	3147 S 17th St Ste 300 Wilmington, NC 284126494
Mailing	500 W Main St Louisville, KY 402022946

Internet Information

Type	Address
Business Email	mmedley@humana.com
Business Email	company_licensing@humana.com

Phone Information

Type	Phone
Business / Home Office	(502) 580-1000