DEPARTMENT OF INSURANCE

Name	Elevate Ins Group	DOIID	951055	NAIC NPN	18374197

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	4/12/2017		3/31/2027
Active	Non Resident	Agent	Life	4/12/2017		3/31/2027

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/16/2025	01/16/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	120 Merchants Blvd Ste A Clarksville, TN 370401536
Continuing Education Provider

Internet Information

Type	Address
Business Email	elevate.dkh@gmail.com

Phone Information

Type	Phone
Business / Home Office	(931) 220-5564