Agency Information

HEALTH AND SUPPLEMENT INSURANCE SERVICES, INC

121 DREW CT

STATELINE, NV 89449

775-624-9045

info@ehealth1st.com

16934723

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	874970	04/10/2013	Active	04/10/2013	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/10/2013	Active	04/10/2013
Life	04/10/2013	Active	04/10/2013

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	11/09/2024
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	01/29/2023
1460
Company Name	Appointment Type	Status	Active Date
ALPHA DENTAL OF NEVADA INC	Health	Active	07/21/2023
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Life	Active	07/03/2013
203
Company Name	Appointment Type	Status	Active Date
DELTA DENTAL INSURANCE COMPANY	Health	Active	07/21/2023
898
Company Name	Appointment Type	Status	Active Date
DENTEGRA INSURANCE COMPANY	Health	Active	04/17/2024
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	07/03/2013
1379
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PLAN INCORPORATED	Health	Active	03/22/2018
995
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY	Health	Active	03/22/2018
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	07/03/2013
17083
Company Name	Appointment Type	Status	Active Date
SILVERSCRIPT INSURANCE COMPANY	Health	Active	09/01/2023

row(s) 1 - 11 of 11

Name	Association Type	Agent	Begin Date	End Date
DUANE MONROE MARTINEZ	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1