Agency Information

POLISH ENTERPRISES INC

373 W 150 N

BLACKFOOT, ID 83221

208-904-3343

andrew@polish-inc.com

19015767

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3409931	01/23/2019	Active	01/23/2019	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	01/23/2019	Active	01/23/2019
Life	01/23/2019	Active	01/23/2019

Company Name	Appointment Type	Status	Active Date
104
AMERITAS LIFE INSURANCE CORPORATION	Health	Active	05/09/2021
151042
Company Name	Appointment Type	Status	Active Date
LASSO HEALTHCARE INSURANCE COMPANY	Health	Active	09/19/2019
1550
Company Name	Appointment Type	Status	Active Date
PROMINENCE HEALTHFIRST	Health	Active	07/27/2023
1792
Company Name	Appointment Type	Status	Active Date
PROMINENCE PREFERRED HEALTH INSURANCE COMPANY INC	Health	Active	07/27/2023
552
Company Name	Appointment Type	Status	Active Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY	Health	Active	07/24/2019
	Life	Active	07/24/2019
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	10/25/2022
18304
Company Name	Appointment Type	Status	Active Date
STARMOUNT LIFE INSURANCE COMPANY	Health	Active	07/24/2019
	Life	Active	07/24/2019
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	05/20/2024
517
Company Name	Appointment Type	Status	Active Date
UNUM INSURANCE COMPANY	Health	Active	07/24/2019
	Life	Active	07/24/2019
670
Company Name	Appointment Type	Status	Active Date
UNUM LIFE INSURANCE COMPANY OF AMERICA	Health	Active	07/24/2019
	Life	Active	07/24/2019
129901
Company Name	Appointment Type	Status	Active Date
VSP VISION CARE INC	Health	Active	01/28/2021

row(s) 1 - 15 of 15

Name	Association Type	Agent	Begin Date	End Date
ANDREW POLISH	Designated Resp Lic Prdcr	Yes	08/26/2021	-

1 - 1