Agency Information

PROBITY

688 E. UNION SQUARE

SANDY, UT 84070

801-224-4217

raiza@healthcaredepotutah.com

19064238

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3474401	09/13/2019	Active	09/13/2019	09/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/13/2019	Active	09/13/2019
Life	09/13/2019	Active	09/13/2019

Company Name	Appointment Type	Status	Active Date
144156
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	03/22/2022
156464
Company Name	Appointment Type	Status	Active Date
IMPERIAL INSURANCE COMPANIES INC	Health	Active	04/16/2025
17687
Company Name	Appointment Type	Status	Active Date
MOLINA HEALTHCARE OF NEVADA INC	Health	Active	10/26/2022
146052
Company Name	Appointment Type	Status	Active Date
SELECTHEALTH INC	Health	Active	09/04/2020
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	08/07/2024
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	03/22/2022
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	03/22/2022

row(s) 1 - 7 of 7

Name	Association Type	Agent	Begin Date	End Date
CLARK BURTON CRAWFORD	Designated Resp Lic Prdcr	Yes	09/16/2020	-
JAMES G BELNAP	Designated Resp Lic Prdcr	Yes	09/16/2020	-
RAIZA SAKAMOTO	Designated Resp Lic Prdcr	Yes	09/16/2020	-
RAMONA AIDE LEDEZMA	Designated Resp Lic Prdcr	Yes	09/16/2020	-

1 - 4