DEPARTMENT OF INSURANCE

Name	Virgil Insurance Agency LLC DBA : Fair Square Medicare	DOIID	1119520	NAIC NPN	19464737

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	2/4/2021		3/31/2025
Active	Non Resident	Agent	Life	2/4/2021		3/31/2025

*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	1 Dock 72 Way Brooklyn, NY 112051242

Phone Information

Type	Phone
Business / Home Office	(281) 236-2023