DEPARTMENT OF INSURANCE

Name	Optima Senior Health Division LLC	DOIID	650232	NAIC NPN	9076055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/27/2007	3/31/2009
Inactive	Non Resident	Agent	Health	2/27/2007	3/31/2009
Denied	Non Resident	Managing General Agent	Not Applicable

*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	160 Greentree Dr Ste 101 Dover, DE 19904

Internet Information

Type	Address
Business Email	bsackel@amerilife.net

Phone Information

Type	Phone
Business / Home Office	(727) 726-0726