DEPARTMENT OF INSURANCE
Affiliations
NameExtend Health, LLCDOIID921062NAIC NPN17909265
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAdministratorNot Applicable7/13/2016 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator01/15/202603/31/2026   
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveChickery, Anthony Michael 921061Administrator - Not Applicable7/13/2016 

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