Company Information

Physicians Select Insurance Company

2600 DODGE ST

OMAHA, NE 68131-2672

17414

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Property and Casualty Insurer	171643	01/05/2024	Active	01/05/2024	Nebraska

Authorized Line	Status	Effective Date	Reinsurer
Health - Property and Casualty Insurer	Approved	01/05/2024	No
Property	Approved	01/05/2024	No

row(s) 1 - 2 of 2

Agent Name	Status	Active Date	Appointment
1894524
ADEKA, MARTELLI	Active	07/12/2024	Health
39024
Agent Name	Status	Active Date	Appointment
ALEX, AMBER	Active	08/30/2024	Health
149576
Agent Name	Status	Active Date	Appointment
ALSUM, KAREN LYNN	Active	08/22/2024	Health
1586921
Agent Name	Status	Active Date	Appointment
ANTHIMIADES, ANISSA REGINA	Active	09/04/2024	Health
1477498
Agent Name	Status	Active Date	Appointment
ARCHULETA, JONATHAN DAVID	Active	07/31/2024	Health
32181
Agent Name	Status	Active Date	Appointment
ATKERSON, BOBBY W	Active	08/20/2024	Health
898500
Agent Name	Status	Active Date	Appointment
BELCOURE, BRUCE CARL	Active	08/05/2024	Health
640672
Agent Name	Status	Active Date	Appointment
BLANTON, GWENDOLYN LUCILLE	Active	08/21/2024	Health
1622549
Agent Name	Status	Active Date	Appointment
BUONOMO, FRANK	Active	08/19/2024	Health
49996
Agent Name	Status	Active Date	Appointment
CANE, LISA RAE	Active	09/12/2024	Health
1758252
Agent Name	Status	Active Date	Appointment
CASTILLO, OLIVIA ELESE	Active	08/20/2024	Health
108201
Agent Name	Status	Active Date	Appointment
CLARK-KOUTSOUMBAS, LAUREN MARIE	Active	08/01/2024	Health
1971259
Agent Name	Status	Active Date	Appointment
COLE, TAYLOR JAMES	Active	09/04/2024	Health
1907558
Agent Name	Status	Active Date	Appointment
COX, BROOKE E	Active	09/12/2024	Health
1915940
Agent Name	Status	Active Date	Appointment
CRAWFORD, INOCENCIA MAY	Active	08/15/2024	Health

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