Agency Information

GOLDEN YEARS DESIGN BENEFITS, LLC

55-77 SCHANCK RD STE A-14

FREEHOLD, NJ 7728-2986

732-526-7659

sunny@goldenyearsdesign.com

16776685

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1021397	03/10/2015	Active	03/10/2015	03/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	03/10/2015	Active	03/10/2015
Life	03/10/2015	Active	03/10/2015

Company Name	Appointment Type	Status	Active Date
770
AETNA HEALTH INSURANCE COMPANY	Health	Active	05/10/2016
104
Company Name	Appointment Type	Status	Active Date
AMERITAS LIFE INSURANCE CORPORATION	Health	Active	07/28/2020
127606
Company Name	Appointment Type	Status	Active Date
BANKERS FIDELITY ASSURANCE COMPANY	Health	Active	07/18/2019
	Life	Active	07/18/2019
1612
Company Name	Appointment Type	Status	Active Date
BANKERS FIDELITY LIFE INSURANCE COMPANY	Health	Active	10/30/2018
	Life	Active	10/30/2018
505
Company Name	Appointment Type	Status	Active Date
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	03/04/2019
1030
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Health	Active	05/10/2016
176
Company Name	Appointment Type	Status	Active Date
LUMICO LIFE INSURANCE COMPANY	Life	Active	04/13/2022
1208
Company Name	Appointment Type	Status	Active Date
PAN-AMERICAN LIFE INSURANCE COMPANY	Health	Active	12/11/2019
523
Company Name	Appointment Type	Status	Active Date
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY	Health	Active	04/20/2020
	Life	Active	04/20/2020
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	04/06/2022
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	12/11/2018

row(s) 1 - 14 of 14

Name	Association Type	Agent	Begin Date	End Date
SONYA RUBIN	Designated Resp Lic Prdcr	Yes	01/14/2021	-

1 - 1