Company Information

Plateau Insurance Company

2701 North Main Street

Crossville, TN 38557-7001

931-484-8411

97152

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Life and Health	124493	01/21/2014	Active	01/21/2014	Tennessee

Authorized Line	Status	Effective Date	Reinsurer
Life	Approved	01/21/2014	No
Health - Life and Health Company	Approved	01/21/2014	No

Agent Name	Status	Active Date	Appointment
74443
BRADBURY, SAMUEL TRENT	Active	04/26/2023	Health
	Active	04/26/2023	Life
1429010
Agent Name	Status	Active Date	Appointment
JOHNSON, BRITTNEY MICHELE	Active	03/28/2023	Health
	Active	03/28/2023	Life
870534
Agent Name	Status	Active Date	Appointment
MARTINEZ-AVILA, ROGELIO HUMBERTO	Active	09/29/2014	Life
1548689
Agent Name	Status	Active Date	Appointment
MENDOZA-MORAN, JOSE BENJAMIN	Active	12/05/2023	Health
	Active	12/05/2023	Life
74445
Agent Name	Status	Active Date	Appointment
PARKER, RICHARD H	Active	04/26/2023	Health
74442
Agent Name	Status	Active Date	Appointment
PARKER, RICHARD H	Active	09/29/2014	Life
74445
Agent Name	Status	Active Date	Appointment
PARKER, RICHARD H	Active	04/26/2023	Life
998003
Agent Name	Status	Active Date	Appointment
YOSHIKAWA, KOKI	Active	09/29/2014	Life

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