Agency Information

DOUGLAS W. DUBOIS INSURANCE AGENCY, INC.

Address:

560 NORTH D STREET

SAN BERNARDINO, CA 92401

Phone

909-384-8308

URL:

Email:

ddubois1@gmail.com

National Producer Number:

17488598

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3407313	01/11/2019	Active	01/11/2019	01/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/09/2021	Active	07/09/2021
Health	01/11/2019	Active	01/11/2019
Life	01/11/2019	Active	01/11/2019
Property	07/09/2021	Active	07/09/2021

Company Name	Appointment Type	Status	Active Date
144156
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/27/2021
1281
Company Name	Appointment Type	Status	Active Date
HOMESITE INSURANCE COMPANY	Casualty	Active	04/10/2023
	Property	Active	04/10/2023
120736
Company Name	Appointment Type	Status	Active Date
SCAN HEALTH PLAN NEVADA DBA SCAN HEALTH PLAN	Health	Active	11/30/2021
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	07/27/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	01/11/2019

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
DOUGLAS WERNER DUBOIS	Designated Resp Lic Prdcr	Yes	02/12/2021	-

1 - 1