DEPARTMENT OF INSURANCE

Name	Kel Agency DBA : Tri-State Med-Care Insurance Agency	DOIID	707966	NAIC NPN	14236509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	7/15/2009		3/31/2027
Active	Resident	Agent	Health	7/15/2009		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	301 Artillery Park Dr Suite 202 Ft MitchellFt Mitchell, KY 41017

Internet Information

Type	Address
Business Email	klitmer@tristatemedcare.com
Business Email	klitmer@tristatemedcare.com

Phone Information

Type	Phone
Business / Home Office	(859) 640-9817