DEPARTMENT OF INSURANCE

Name	The Medicare Insurance Shop Llc	DOIID	1165255	NAIC NPN	20087961

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	Life	10/8/2021		3/31/2025
Active	Non Resident	Agent	Health	10/8/2021		3/31/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	4289 Lee Hwy #118 Bristol, VA 24202

Phone Information

Type	Phone
Business / Home Office	(304) 887-0730