Agency Information

GREAT BASIN INSURANCE INC.

Address:

2300 MADISON STREET

KLAMATH FALLS, OR 97603

Phone

541-882-5507

URL:

https://www.gr8basin.com

Email:

accounting@gr8basin.com

National Producer Number:

2746624

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	820970	05/25/2012	Active	09/10/2018	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/25/2012	Active	09/10/2018
Health	09/10/2018	Active	09/10/2018
Life	09/10/2018	Active	09/10/2018
Property	05/25/2012	Active	09/10/2018

Company Name	Appointment Type	Status	Active Date
965
ACUITY A MUTUAL INSURANCE COMPANY	Casualty	Active	04/20/2022
	Property	Active	04/20/2022
34
Company Name	Appointment Type	Status	Active Date
AMERICAN ECONOMY INSURANCE COMPANY	Casualty	Active	11/11/2020
	Property	Active	11/11/2020
161110
Company Name	Appointment Type	Status	Active Date
ATRIO HEALTH PLANS INC.	Health	Active	09/17/2024
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	06/26/2019
	Property	Active	06/26/2019
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	05/21/2020
	Property	Active	05/21/2020

row(s) 1 - 9 of 9

Name	Association Type	Agent	Begin Date	End Date
WILLIAM FRANCIS GILMORE	Designated Resp Lic Prdcr	Yes	07/13/2021	-

1 - 1