Agency Information

SUPERIOR VISION BENEFIT MANAGEMENT, INC

Address:

881 ELKRIDGE LANDING ROAD

LINTHICUM, MD 21090-2902

Phone

800-243-1401

URL:

Email:

licensing@versanthealth.com

National Producer Number:

4583032

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	17428	12/17/2003	Active	12/17/2003	12/31/2024
Non-Res. Third Party Admin.	5848	10/01/2009	Active	10/01/2009	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	12/17/2003	Active	12/17/2003
Life	12/17/2003	Active	12/17/2003
TPA1 -Life/Health Insurance	10/01/2009	Active	10/01/2009

Company Name	Appointment Type	Status	Active Date
442
NATIONAL GUARDIAN LIFE INSURANCE COMPANY	Health	Active	12/15/2021

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
CHRISTOPHER SCOTT HAMEY	Designated Resp Lic Prdcr	Yes	12/14/2021	-
PAUL MONTUORI	Designated Resp Lic Prdcr	Yes	01/05/2023	-

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