DEPARTMENT OF INSURANCE

Name	Immunity Insurance LLC	DOIID	1393619	NAIC NPN	21548762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Health	4/7/2025		3/31/2027
Active	Resident	Agent	Life	4/7/2025		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	3293 Bellefonte Drive Lexington, KY 405023206

Internet Information

Type	Address
Business Email	msimpson1909@gmail.com

Phone Information

Type	Phone
Business / Home Office	(606) 269-3471