DEPARTMENT OF INSURANCE

Name	Green & Halliburton, Inc.	DOIID	398934	NAIC NPN	7221280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/28/1993		3/31/2027
Active	Resident	Agent	Health	9/28/1993		3/31/2027
Inactive	Resident	Agent	Health Maintenance Organization	2/22/1994	3/1/2001

*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	01/13/2025	01/13/2025	Yes

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

Address Information

Type	Address
Business / Home Office	521 Barret Avenue Louisville, KY 40204

Phone Information

Type	Phone
Business / Home Office	(502) 583-4412