DEPARTMENT OF INSURANCE

Name	Community Insurance Company (TPA)	DOIID	395826	NAIC NPN	133743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	4/3/2001		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
Administrator	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	1351 William Howard Taft Road Cincinnati, OH 45206

Internet Information

Type	Address
Business Email	renee.peazzoni@anthem.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(502) 327-5277