DEPARTMENT OF INSURANCE

Name	Senior Source Ins LLC	DOIID	912999	NAIC NPN	17907665

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	4/18/2016	3/31/2020
Inactive	Non Resident	Agent	Life	4/18/2016	3/31/2020

*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	1405 Valley View Rd New Albany, IN 47150

Phone Information

Type	Phone
Business / Home Office	(502) 759-5546