Individual Information

PHILIP SAMUEL COLE

Address:

RANCHO CORDOVA, CA 95670-6243

Status:

Active

Email:

sam.cole@assuredpartners.com

Date:

04/22/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3153812	04/22/2016	Active	04/22/2016	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/22/2016	Active	04/22/2016
Life	04/22/2016	Active	04/22/2016

Company Name	Appointment Type	Status	Active Date
1099
ANTHEM LIFE INSURANCE COMPANY	Life	Active	07/13/2023
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	07/13/2023
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	07/13/2023

row(s) 1 - 3 of 3

Organization	Association Type	Type	Beg dte	End dte
KEENAN & ASSOCIATES	Designated Resp Lic Prdcr	Agency	08/31/2023	-

1 - 1