Agency Information

SENIOR BENEFITS LLC

580 CAPSTONE CT

HAYDEN, ID 83835

208-635-0447

www.mysrlife.com

admin@mysrlife.com

19003326

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3511021	01/06/2020	Active	01/06/2020	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	01/06/2020	Active	01/06/2020
Life	01/06/2020	Active	01/06/2020

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	09/11/2024
1670
Company Name	Appointment Type	Status	Active Date
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY	Life	Active	03/28/2024
153630
Company Name	Appointment Type	Status	Active Date
AMERICAN LIFE & SECURITY CORP	Life	Active	12/29/2021
150903
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH CARE OF NEBRASKA INC	Health	Active	07/15/2023
932
Company Name	Appointment Type	Status	Active Date
GUARANTY INCOME LIFE INSURANCE COMPANY	Health	Active	04/04/2023
	Life	Active	04/04/2023
174724
Company Name	Appointment Type	Status	Active Date
HEALTH NET OF ARIZONA, INC. DBA WELLCARE; WELLCARE BY ALLWELL	Health	Active	10/06/2024
596
Company Name	Appointment Type	Status	Active Date
SENTINEL SECURITY LIFE INSURANCE COMPANY	Life	Active	10/04/2024
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	02/17/2020
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	08/02/2021
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	04/07/2022

row(s) 1 - 11 of 11

Name	Association Type	Agent	Begin Date	End Date
ALLAN GEOFFREY BRANDVEIN	Designated Resp Lic Prdcr	Yes	07/11/2021	-

1 - 1