Agency Information

MEDICARE 411 COMPANY

Address:

2145 MARIPOSA DRIVE

ROCKFORD, IL 61108

Phone

815-980-9369

URL:

Email:

tracey@medicare411co.com

National Producer Number:

18380613

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3773589	02/24/2022	Active	02/24/2022	02/29/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/24/2022	Active	02/24/2022
Life	02/24/2022	Active	02/24/2022

Company Name	Appointment Type	Status	Active Date
1435
EPIC LIFE INSURANCE COMPANY (THE)	Health	Active	10/18/2022

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
TRACEY ANN FULTS	Designated Resp Lic Prdcr	No	02/24/2022	-

1 - 1