Individual Information

KRISTIAN BASO

MARGATE, FL 33063-5713

Active

licensing@insurancelineone.com

05/14/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3225176	03/06/2017	Active	05/14/2020	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/28/2021	Active	01/28/2021
Health	03/06/2017	Active	05/14/2020
Life	02/11/2019	Active	05/14/2020
Property	01/28/2021	Active	01/28/2021

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	02/23/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	03/11/2021
	Property	Active	03/11/2021
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	05/07/2021
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	03/18/2021
	Property	Active	03/18/2021
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	05/07/2021
1142
Company Name	Appointment Type	Status	Active Date
TIER ONE INSURANCE COMPANY	Health	Active	03/09/2023
12117
Company Name	Appointment Type	Status	Active Date
UNIFIED LIFE INSURANCE COMPANY	Health	Active	04/27/2023
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	03/18/2021
	Property	Active	03/18/2021
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	03/26/2025
1705
Company Name	Appointment Type	Status	Active Date
WELLFLEET INSURANCE COMPANY	Health	Active	07/22/2021

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
Insurance Line One LLC	Designated Resp Lic Prdcr	Agency	07/08/2022	-

1 - 1