DEPARTMENT OF INSURANCE

Name	Affinityltc LLC	DOIID	764372	NAIC NPN	9057244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	9/22/2011		3/31/2025
Active	Non Resident	Agent	Life	9/22/2011		3/31/2025

*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

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

Address Information

Type	Address
Business / Home Office	801 East Park Drive Suite 106bHarrisburg, PA 17111

Internet Information

Type	Address
Business Email	corplicensing@ltcglobal.com

Phone Information

Type	Phone
Business / Home Office	(717) 737-3060