Agency Information

ONPAY INS AGENCY LLC

675 PONCE DE LEON AVE NE

ATLANTA, GA 30308

877-328-6505

nyeashakenner@onpay.com

18154142

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3356748	07/23/2018	Active	07/23/2018	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/23/2018	Active	07/23/2018
Life	07/23/2018	Active	07/23/2018

Company Name	Appointment Type	Status	Active Date
120284
ALL SAVERS INSURANCE COMPANY	Health	Active	10/18/2024
	Life	Active	10/18/2024
1460
Company Name	Appointment Type	Status	Active Date
ALPHA DENTAL OF NEVADA INC	Health	Active	09/23/2024
16977
Company Name	Appointment Type	Status	Active Date
ANTHEM INSURANCE COMPANIES INC	Health	Active	01/11/2024
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Life	Active	06/11/2021
203
Company Name	Appointment Type	Status	Active Date
DELTA DENTAL INSURANCE COMPANY	Health	Active	09/23/2024
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	07/25/2018
	Life	Active	07/25/2018
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	05/03/2019
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	09/12/2023
	Life	Active	09/12/2023
2
Company Name	Appointment Type	Status	Active Date
NEVADA PACIFIC DENTAL	Health	Active	10/18/2024
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	05/03/2019
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Life	Active	10/18/2024

row(s) 1 - 14 of 14

Name	Association Type	Agent	Begin Date	End Date
ASHLEY NORMAN ALLEN	Designated Resp Lic Prdcr	Yes	05/30/2024	-
PAUL ANDREW FOERY	Designated Resp Lic Prdcr	Yes	02/17/2021	-

1 - 2