DEPARTMENT OF INSURANCE

Name	MediGap Life, LLC	DOIID	993791	NAIC NPN	18126904

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	5/9/2018		3/31/2028
Active	Non Resident	Agent	Life	5/9/2018		3/31/2028

*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	1900 Nw Corporate Blvd Ste W300a Boca Raton, FL 334318502

Internet Information

Type	Address
Business Email	agencylicense@alliant.com
Internet	www.medigaplife.com

Phone Information

Type	Phone
Business / Home Office	(631) 860-8900