Agency Information

GBS ARIZONA, INC.

2333 W. UNIVERSITY DRIVE, SUITE C103

TEMPE, AZ 85281

480-588-2270

rick-shuckerow@leavitt.com

9798199

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	715974	09/13/2010	Active	09/13/2010	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/13/2010	Active	09/13/2010
Life	09/13/2010	Active	09/13/2010

Company Name	Appointment Type	Status	Active Date
120284
ALL SAVERS INSURANCE COMPANY	Health	Active	01/15/2024
	Life	Active	01/15/2024
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Life	Active	06/11/2021
505
Company Name	Appointment Type	Status	Active Date
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	04/12/2023
827
Company Name	Appointment Type	Status	Active Date
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA	Health	Active	12/13/2023
	Life	Active	12/13/2023
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	01/27/2023
	Life	Active	01/27/2023
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	06/16/2011
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	09/11/2020
	Life	Active	09/11/2020
2
Company Name	Appointment Type	Status	Active Date
NEVADA PACIFIC DENTAL	Health	Active	01/15/2024
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	10/06/2019
790
Company Name	Appointment Type	Status	Active Date
STANDARD LIFE & ACCIDENT INSURANCE COMPANY	Health	Active	08/09/2012
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	01/15/2024
	Life	Active	01/15/2024

row(s) 1 - 16 of 16

Name	Association Type	Agent	Begin Date	End Date
DONALD D MOLLIHAN	Designated Resp Lic Prdcr	Yes	03/26/2020	-

1 - 1