Individual Information

ELLSWORTH H K HULIHEE

KAILUA KONA, HI 96745-1866

Active

ellsworth@isofhi.com

09/27/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3379141	09/27/2018	Active	09/27/2018	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/27/2018	Active	09/27/2018
Health	09/27/2018	Active	09/27/2018
Life	09/27/2018	Active	09/27/2018
Property	09/27/2018	Active	09/27/2018

Company Name	Appointment Type	Status	Active Date
397
BCS INSURANCE COMPANY	Casualty	Active	07/11/2022
	Health	Active	07/11/2022
	Property	Active	07/11/2022
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/29/2021
349
Company Name	Appointment Type	Status	Active Date
JEFFERSON INSURANCE COMPANY	Casualty	Active	07/11/2022
	Property	Active	07/11/2022
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	07/29/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	08/12/2020

row(s) 1 - 9 of 9

Organization	Association Type	Type	Beg dte	End dte
INSURANCE SERVICE OF HAWAII LLC	Designated Resp Lic Prdcr	Agency	07/03/2021	-

1 - 1