DEPARTMENT OF INSURANCE

Name	Senior Insurance Group LLC	DOIID	734803	NAIC NPN	15883585

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	7/1/2022	1/2/2024
Inactive	Non Resident	Agent	Life	7/1/2022	1/2/2024

*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	305 Nashua Ct Clarksville, IN 47129

Phone Information

Type	Phone
Business / Home Office	(812) 748-9180