DEPARTMENT OF INSURANCE

Name	Triad Insurance Agency Inc.	DOIID	398921	NAIC NPN	7221269

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/7/2023		3/31/2025
Active	Resident	Agent	Life	6/7/2023		3/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	1/16/1997	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	3/31/2023
Inactive	Resident	Agent	General Lines	1/4/1993	8/15/2000
Inactive	Resident	Agent	Casualty	8/4/2000	3/31/2023

*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	780 Winchester Road Lexington, KY 40505

Phone Information

Type	Phone
Business / Home Office	(859) 254-1836