Agency Information

BENEFIT SOLUTIONS NORTHWEST LLC

12930 PACIFIC HWY SW

LAKEWOOD, WA 98499

253-368-6614

benefitsolutionsnw.com

eric@benefitsolutionsnw.com

19384215

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3987898	03/05/2024	Active	03/05/2024	03/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/05/2024	Active	03/05/2024
Health	03/05/2024	Active	03/05/2024
Life	03/05/2024	Active	03/05/2024
Property	03/05/2024	Active	03/05/2024

Company Name	Appointment Type	Status	Active Date
977
BEST LIFE AND HEALTH INSURANCE COMPANY	Health	Active	06/28/2024
113385
Company Name	Appointment Type	Status	Active Date
EMPLOYERS ASSURANCE COMPANY	Casualty	Active	08/15/2024
100892
Company Name	Appointment Type	Status	Active Date
EMPLOYERS COMPENSATION INSURANCE COMPANY	Casualty	Active	08/15/2024
111020
Company Name	Appointment Type	Status	Active Date
EMPLOYERS PREFERRED INSURANCE COMPANY	Casualty	Active	08/15/2024
174724
Company Name	Appointment Type	Status	Active Date
HEALTH NET OF ARIZONA, INC. DBA WELLCARE; WELLCARE BY ALLWELL	Health	Active	10/06/2024
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	03/10/2024
1379
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PLAN INCORPORATED	Health	Active	05/29/2024
995
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY	Health	Active	05/29/2024
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	03/10/2024
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	03/07/2024
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	03/07/2024

row(s) 1 - 11 of 11

Name	Association Type	Agent	Begin Date	End Date
ERIC H KANTOR	Designated Resp Lic Prdcr	No	03/05/2024	-

1 - 1