DEPARTMENT OF INSURANCE

Name	Fossi Group, Inc.[ The]	DOIID	536560	NAIC NPN	1619860

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	9/5/2001	3/31/2007
Inactive	Non Resident	Agent	Life	9/5/2001	3/31/2007

*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	1120 S Lincoln Avenue Suite ASteamboat Springs, CO 80487

Phone Information

Type	Phone
Business / Home Office	(606) 473-1434