DEPARTMENT OF INSURANCE

Name	McGohan/Brabender Agency Ins.	DOIID	399029	NAIC NPN	2441090

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/27/1999		3/31/2025
Active	Non Resident	Agent	Life	4/27/1999		3/31/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	10/29/1999	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

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

Address Information

Type	Address
Business / Home Office	3931 South Dixie Drive Dayton, OH 454392313

Phone Information

Type	Phone
Business / Home Office	(937) 293-1600