Individual Information

ALLAN GEOFFREY BRANDVEIN

HAYDEN, ID 83835-7638

Active

allan@mysrlife.com

12/30/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3509800	12/30/2019	Active	12/30/2019	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	12/30/2019	Active	12/30/2019
Life	12/30/2019	Active	12/30/2019

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	09/11/2024
1350
Company Name	Appointment Type	Status	Active Date
AMERICAN AMICABLE LIFE INSURANCE COMPANY OF TEXAS	Life	Active	02/28/2020
1670
Company Name	Appointment Type	Status	Active Date
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY	Life	Active	03/12/2024
153630
Company Name	Appointment Type	Status	Active Date
AMERICAN LIFE & SECURITY CORP	Life	Active	12/29/2021
1260
Company Name	Appointment Type	Status	Active Date
ATHENE ANNUITY AND LIFE COMPANY	Life	Active	12/28/2023
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	08/02/2021
150903
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH CARE OF NEBRASKA INC	Health	Active	07/15/2023
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	01/19/2022
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	04/14/2022
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	08/02/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	06/30/2020

row(s) 1 - 11 of 11

Organization	Association Type	Type	Beg dte	End dte
SENIOR BENEFITS LLC	Designated Resp Lic Prdcr	Agency	07/11/2021	-

1 - 1