Agency Information

CAPITAL INSURANCE & ASSET PROTECTION,LLC

Address:

14502 N DALE MABRY HWY SUITE 200

TAMPA, FL 33618

Phone

813-203-4279

URL:

Haren@mycapitalinsurance.com

Email:

harenmehta@hotmail.com

National Producer Number:

16022223

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3544216	05/15/2020	Active	05/15/2020	05/31/2023

Qualification Type	Original Issue Date	Status	Effective Date
Health	05/15/2020	Active	05/15/2020
Life	05/15/2020	Active	05/15/2020

Company Name	Appointment Type	Status	Active Date
1160
PENN INSURANCE AND ANNUITY COMPANY	Life	Active	05/15/2020
519
Company Name	Appointment Type	Status	Active Date
PENN MUTUAL LIFE INSURANCE COMPANY	Life	Active	05/15/2020

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
HAREN MEHTA	Designated Resp Lic Prdcr	No	05/15/2020	-

1 - 1