DEPARTMENT OF INSURANCE

Name	Capital Ins Group LLC	DOIID	870669	NAIC NPN	17515397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Pending Replacement	Non Resident	Agent	Life	3/2/2015		3/31/2025
Pending Replacement	Non Resident	Agent	Health	3/2/2015		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	5000 White Tail Way Greenville, IN 47124

Internet Information

Type	Address
Business Email	steve@baldwinbranding.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(502) 640-4163