DEPARTMENT OF INSURANCE

Name	Impact Insurance Agency LLC	DOIID	1303946	NAIC NPN	20654167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/9/2023	3/31/2027
Active	Non Resident	Agent	Health	10/9/2023	3/31/2027
Denied	Non Resident	Managing General Agent	Not Applicable

*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	01/28/2025	01/28/2025	Yes

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

Address Information

Type	Address
Business / Home Office	111 Commerce Park Dr Ste BWesterville, OH 43082

Internet Information

Type	Address
Business Email	cheryl.johnson@impactinsagency.com

Phone Information

Type	Phone
Business / Home Office	(614) 324-2641