DEPARTMENT OF INSURANCE

Name	Ins Specialist Group	DOIID	907593	NAIC NPN	17740115

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	2/22/2016		3/31/2028
Active	Non Resident	Agent	Life	2/22/2016		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	1100 Stonehenge Circle Avon, IN 46123

Internet Information

Type	Address
Business Email	Entity@Amerilife.com

Phone Information

Type	Phone
Business / Home Office	(317) 514-8473