Agency Information

CUSTOM LIFE HEALTH LLC

Address:

907 SCHOOL AVE

CUYAHOGA FALLS, OH 44221

Phone

330-990-5656

URL:

www.customlifehealth.com

Email:

jf@customlifehealth.com

National Producer Number:

20636813

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3880547	03/09/2023	Active	03/09/2023	03/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Life	03/09/2023	Active	03/09/2023

Company Name	Appointment Type	Status	Active Date
154
CICA LIFE INSURANCE COMPANY OF AMERICA	Life	Active	09/22/2023
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Life	Active	03/15/2023

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
JARID FAUBEL	Designated Resp Lic Prdcr	Yes	03/09/2023	-

1 - 1