Individual Information

JACOB ADDISON DUBOIS

NOVI, MI 48377-2359

Active

agorno@omegabenefit.org

09/12/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3186135	09/12/2016	Active	09/12/2016	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/12/2016	Active	09/12/2016
Life	09/12/2016	Active	09/12/2016

Company Name	Appointment Type	Status	Active Date
1026
ACCENDO INSURANCE COMPANY	Health	Active	04/14/2023
	Life	Active	07/08/2020
127606
Company Name	Appointment Type	Status	Active Date
BANKERS FIDELITY ASSURANCE COMPANY	Health	Active	04/22/2019
	Life	Active	04/22/2019
1612
Company Name	Appointment Type	Status	Active Date
BANKERS FIDELITY LIFE INSURANCE COMPANY	Health	Active	09/18/2016
	Life	Active	09/18/2016
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	08/02/2021
13151
Company Name	Appointment Type	Status	Active Date
CONTINENTAL LIFE INSURANCE COMPANY OF BRENTWOOD TENNESSEE	Health	Active	11/18/2020
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	08/02/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	09/18/2016
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	12/21/2021
98384
Company Name	Appointment Type	Status	Active Date
WESTERN UNITED LIFE INSURANCE COMPANY	Health	Active	01/23/2019

Organization	Association Type	Type	Beg dte	End dte
JL INC	Designated Resp Lic Prdcr	Agency	01/08/2021	-
OMEGA BENEFIT STRATEGIES LLC	Designated Resp Lic Prdcr	Agency	01/08/2021	-