DEPARTMENT OF INSURANCE

Name	Willis Towers Watson Insurance Services West Inc	DOIID	538729	NAIC NPN	659792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2001	3/31/2027
Active	Non Resident	Agent	Life	12/18/2006	3/31/2027
Active	Non Resident	Agent	Property	2/28/2003	3/31/2027
Active	Non Resident	Agent	Casualty	2/28/2003	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/31/2006	3/31/2027

*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	02/26/2025	02/26/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	02/26/2025	02/26/2025	Yes

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

Address Information

Type	Address
Business / Home Office	333 Bush St Ste 400 San Francisco, CA 941042806

Internet Information

Type	Address
Internet	willis.com
Business Email	westlicensing@wtwco.com

Phone Information

Type	Phone
Business / Home Office	(615) 872-3447