Agency Information

BENEFITS BROKER INC.

Address:

20 CLUB MANOR DR

PUEBLO, CO 81008

Phone

719-545-4840

URL:

Email:

sshirley@benefitsbroker.com

National Producer Number:

8429547

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	985583	09/30/2014	Active	03/12/2021	03/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/30/2014	Active	03/12/2021
Life	09/30/2014	Active	03/12/2021

Company Name	Appointment Type	Status	Active Date
1001
HEALTH PLAN OF NEVADA INCORPORATED	Health	Active	07/04/2022
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Life	Active	03/18/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Life	Active	03/30/2021

row(s) 1 - 3 of 3

Name	Association Type	Agent	Begin Date	End Date
DAVID W VECCHIO	Designated Resp Lic Prdcr	No	03/12/2021	-

1 - 1