DEPARTMENT OF INSURANCE

Name	Disability Partnership Ins DBA : Disability Partnership Insurance	DOIID	884190	NAIC NPN	17447148

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	7/22/2015	3/31/2019
Inactive	Non Resident	Agent	Life	7/22/2015	3/31/2019

*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	6589 South 1300 East #250 Salt Lake City, UT 84121

Internet Information

Type	Address
Business Email	INFO@DISABILITYPARTNERSHIP.COM - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(424) 221-5402