Individual Information

GEORGE NICHOLSON CARRELL

SOUTH LAKE TAHOE, CA 96155

Active

basinbkr@sbcglobal.net

11/16/1989

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	27660	10/01/2001	Active	10/01/2001	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Casualty	03/17/1995	Inactive	10/01/2001
Health	11/16/1989	Inactive	10/01/2001
Life	11/16/1989	Inactive	10/01/2001
Property	03/17/1995	Inactive	10/01/2001
Surety	03/17/1995	Inactive	01/01/2020
Surety	10/01/2001	Inactive	01/01/2020
Var. Annuities/Var. Life	02/22/1995	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1099
ANTHEM LIFE INSURANCE COMPANY	Health	Active	09/01/2005
	Life	Active	09/01/2005
977
Company Name	Appointment Type	Status	Active Date
BEST LIFE AND HEALTH INSURANCE COMPANY	Health	Active	11/22/2023
	Life	Active	11/22/2023
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	06/24/1993
	Life	Active	06/24/1993
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	09/01/2005
1379
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PLAN INCORPORATED	Health	Active	12/26/1995
995
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY	Health	Active	12/26/1995
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	09/02/1994
	Life	Active	09/02/1994
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	09/01/2005
609
Company Name	Appointment Type	Status	Active Date
STANDARD INSURANCE COMPANY	Health	Active	10/09/2018
	Life	Active	10/09/2018
	Var. Annuities/Var. Life	Active	10/09/2018
129901
Company Name	Appointment Type	Status	Active Date
VSP VISION CARE INC	Health	Active	03/07/2017

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