Agency Information

AMALGAMATED EMPLOYEE BENEFITS ADMINISTRATORS, INC.

Address:

333 WESTCHESTER AVE

WHITE PLAINS, NY 10604

Phone

914-367-5581

URL:

www.amalgamatedlife.com

Email:

dpappas@amalgamatedbenefits.com

National Producer Number:

2225570

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	19844	11/07/2005	Active	06/17/2009	06/30/2027
Non-Res. Third Party Admin.	564786	10/01/2009	Active	10/01/2009	10/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	11/07/2005	Active	06/17/2009
Life	11/07/2005	Active	06/17/2009
TPA2-SF Health Benefit Program	10/01/2009	Active	10/01/2009

Company Name	Appointment Type	Status	Active Date
885
BOSTON MUTUAL LIFE INSURANCE COMPANY	Health	Active	10/28/2010
	Life	Active	10/28/2010
1001
Company Name	Appointment Type	Status	Active Date
HEALTH PLAN OF NEVADA INCORPORATED	Health	Active	07/04/2022
1190
Company Name	Appointment Type	Status	Active Date
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK	Life	Active	05/25/2023

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
MELANIE S CANNON	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1