Individual Information

EVELIA CONCEPCION BANAGA

Address:

WHITTIER, CA 90605

Status:

Active

Email:

evie@pibt.org

Date:

04/05/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3429675	04/05/2019	Active	04/05/2019	04/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/05/2019	Active	04/05/2019
Life	04/05/2019	Active	04/05/2019

Company Name	Appointment Type	Status	Active Date
36
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS	Health	Active	10/09/2022
	Life	Active	10/09/2022
505
Company Name	Appointment Type	Status	Active Date
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	08/24/2022

row(s) 1 - 3 of 3

Organization	Association Type	Type	Beg dte	End dte
PIASC	Designated Resp Lic Prdcr	Agency	07/12/2021	-

1 - 1