Agency Information

NATIONAL INSURANCE USA GROUP

Address:

1039 WEST MASON STREET

GREEN BAY, WI 54303

Phone

302-476-2758

URL:

Email:

matt@aimediaone.com

National Producer Number:

18844817

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3356746	07/23/2018	Active	07/23/2018	07/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/23/2018	Active	07/23/2018
Life	07/23/2018	Active	07/23/2018

Company Name	Appointment Type	Status	Active Date
144156
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	05/02/2022
505
Company Name	Appointment Type	Status	Active Date
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	10/17/2018
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	05/02/2022
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	05/02/2022

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
APOLLO MARCOS ARCALLANA	Designated Resp Lic Prdcr	Yes	03/10/2021	-

1 - 1