DEPARTMENT OF INSURANCE

Name	Stop Loss Insurance Services Inc	DOIID	705855	NAIC NPN	8862659

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	Life	5/15/2009	12/31/2020
Inactive	Non Resident	Agent	Health	5/15/2009	12/31/2020

*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	100 Front Street Suite 610 Worcester, MA 01608

Internet Information

Type	Address
Business Email	toni.polson@amwins.com

Phone Information

Type	Phone
Business / Home Office	(800) 944-7659