Individual Information

MELVIN TRACY THAIN

Address:

BOUNTIFUL, UT 84011

Status:

Active

Email:

tracythain@gmail.com

Date:

03/16/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	35566	10/01/2001	Active	03/16/2020	03/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	03/16/2020
Health	03/15/1993	Inactive	10/01/2001
Life	03/15/1993	Inactive	04/01/2006
Life	10/01/2001	Inactive	04/01/2006

Company Name	Appointment Type	Status	Active Date
1095
SIRIUSPOINT AMERICA INSURANCE COMPANY	Health	Active	10/19/2020

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Organization	Association Type	Type	Beg dte	End dte
HEALTH BENEFITS DESIGNERS	Designated Resp Lic Prdcr	Agency	03/17/2020	-

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