Individual Information

LORI ANN DAY

PEORIA, AZ 85382

Active

employeebenefitmgmt@cox.net

10/06/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	194673	10/06/2004	Active	10/06/2004	10/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/06/2004	Active	10/06/2004
Life	10/06/2004	Active	10/06/2004
Health	10/08/1993	Inactive	10/01/2001
Health	05/12/1999	Inactive	10/01/2001
Health	10/01/2001	Inactive	09/20/2004
Life	10/08/1993	Inactive	10/01/2001
Life	05/12/1999	Inactive	10/01/2001
Life	10/01/2001	Inactive	09/20/2004

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	07/01/2009
770
Company Name	Appointment Type	Status	Active Date
AETNA HEALTH INSURANCE COMPANY	Health	Active	08/11/2005
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	08/11/2005
	Life	Active	08/11/2005
163
Company Name	Appointment Type	Status	Active Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY	Health	Active	09/13/2023
	Life	Active	09/13/2023
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	02/23/2005
	Life	Active	02/23/2005
378
Company Name	Appointment Type	Status	Active Date
LINCOLN NATIONAL LIFE INSURANCE COMPANY	Health	Active	04/17/2013
	Life	Active	04/17/2013
2
Company Name	Appointment Type	Status	Active Date
NEVADA PACIFIC DENTAL	Health	Active	02/22/2007
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Health	Active	09/16/2013
	Life	Active	09/16/2013
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	09/07/2005
	Life	Active	09/07/2005
129901
Company Name	Appointment Type	Status	Active Date
VSP VISION CARE INC	Health	Active	10/07/2022

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
EMPLOYEE BENEFIT MANAGEMENT LLC	Designated Resp Lic Prdcr	Agency	04/11/2021	-

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