Agency Information

UNITED BENEFIT SOLUTIONS LLC

Address:

100 MERRICK RD STE 526W

ROCKVILLE CENTRE, NY 11570-4882

Phone

516-766-3513

URL:

Email:

cindy@jafinsurance.com

National Producer Number:

8777203

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	816569	05/02/2012	Active	05/02/2012	05/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/02/2012	Active	05/02/2012
Health	05/02/2012	Active	05/02/2012
Life	05/02/2012	Active	05/02/2012
Property	05/02/2012	Active	05/02/2012

Company Name	Appointment Type	Status	Active Date
1001
HEALTH PLAN OF NEVADA INCORPORATED	Health	Active	09/08/2017
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	09/08/2017
	Life	Active	09/08/2017
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	09/25/2014
	Life	Active	09/25/2014

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
JOSEPH A FACCIBENE	Designated Resp Lic Prdcr	Yes	03/01/2021	-
PHILIP M JACOBY	Designated Resp Lic Prdcr	Yes	09/16/2020	-

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