Individual Information

JUDY TADIDIIN WEST

HURRICANE, UT 84737

Active

agentwestinc@american-national.com

04/26/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3790030	04/26/2022	Active	04/26/2022	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/26/2022	Active	04/26/2022
Health	04/26/2022	Active	04/26/2022
Life	04/26/2022	Active	04/26/2022
Property	04/26/2022	Active	04/26/2022

Company Name	Appointment Type	Status	Active Date
1097
AMERICAN NATIONAL GENERAL INSURANCE COMPANY	Casualty	Active	05/03/2022
	Property	Active	05/03/2022
63
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	05/03/2022
856
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY	Casualty	Active	05/03/2022
	Property	Active	05/03/2022
1639
Company Name	Appointment Type	Status	Active Date
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	06/01/2023
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	06/01/2023
	Property	Active	06/01/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	05/23/2023
	Property	Active	05/23/2023
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	05/23/2023
	Property	Active	05/23/2023

row(s) 1 - 12 of 12

Organization	Association Type	Type	Beg dte	End dte
AGENT WEST INSURANCE, INCORPORATION	Designated Resp Lic Prdcr	Agency	05/02/2022	-

1 - 1