DEPARTMENT OF INSURANCE

Name	Equitable Reserve Association Corporate Agency, Inc.	DOIID	502030	NAIC NPN	2108953

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	2/9/2004	9/7/2012
Inactive	Non Resident	Agent	Life	2/14/2000	9/7/2012

*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	116 S Commercial St Neenah, WI 54956
Mailing	PO Box 448 Neenah, WI 54957

Internet Information

Type	Address
Business Email	palmerr@equitablereserve.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(920) 722-1574
Fax	(920) 722-5400