DEPARTMENT OF INSURANCE

Name	Mod Insurance	DOIID	1384921	NAIC NPN	21477272

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	2/14/2025		3/31/2027
Active	Non Resident	Agent	Health	2/14/2025		3/31/2027

*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	5553 Muddy Creek Rd Cincinnati, OH 45238

Internet Information

Type	Address
Business Email	sschwerin@fuse.net

Phone Information

Type	Phone
Business / Home Office	(513) 240-8047