Individual Information

JAY M EBERT

FERNDALE, WA 98248

Active

jay.ebert@gmail.com

01/15/2013

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	525086	02/09/2007	Active	01/15/2013	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/09/2007	Active	01/15/2013
Life	02/09/2007	Active	01/15/2013

Company Name	Appointment Type	Status	Active Date
1026
ACCENDO INSURANCE COMPANY	Life	Active	07/08/2020
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	07/21/2023
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/20/2021
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	07/22/2024
17083
Company Name	Appointment Type	Status	Active Date
SILVERSCRIPT INSURANCE COMPANY	Health	Active	06/13/2023
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	07/20/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	01/15/2013

row(s) 1 - 7 of 7

Organization	Association Type	Type	Beg dte	End dte
BEST VALUE INS SERVICES, LLC	Designated Resp Lic Prdcr	Agency	09/17/2020	-

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