Agency Information

MAXIMUM SENIOR BENEFITS

901 GOOSENEST DR

ELK RIDGE, UT 84651-3056

888-907-5505

entity@amerilife.com

16473962

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1103626	07/06/2015	Active	07/06/2015	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/06/2015	Active	07/06/2015
Life	07/06/2015	Active	07/06/2015

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	12/04/2021
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	06/20/2021
43
Company Name	Appointment Type	Status	Active Date
AMERICAN GENERAL LIFE INSURANCE COMPANY	Health	Active	10/05/2016
	Life	Active	10/05/2016
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/21/2021
150903
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH CARE OF NEBRASKA INC	Health	Active	10/20/2021
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	09/22/2017
	Life	Active	09/22/2017
299
Company Name	Appointment Type	Status	Active Date
GUARANTEE TRUST LIFE INSURANCE COMPANY	Health	Active	09/12/2023
	Life	Active	09/12/2023
146052
Company Name	Appointment Type	Status	Active Date
SELECTHEALTH INC	Health	Active	07/03/2023
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	08/07/2024
17083
Company Name	Appointment Type	Status	Active Date
SILVERSCRIPT INSURANCE COMPANY	Health	Active	10/24/2021
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	07/21/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	04/12/2021

row(s) 1 - 15 of 15

Name	Association Type	Agent	Begin Date	End Date
JUSTIN HASKELL	Designated Resp Lic Prdcr	Yes	09/16/2020	-

1 - 1