Individual Information

THERESA C BAKER

SNOQUALMIE, WA 98065

Active

theresa@bakerig.com

09/14/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	839600	09/14/2012	Active	09/14/2012	09/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/14/2012	Active	09/14/2012
Life	09/14/2012	Active	09/14/2012
Casualty	05/27/1994	Inactive	08/24/1998
Health	05/27/1994	Inactive	08/24/1998
Life	05/27/1994	Inactive	08/24/1998
Property	05/27/1994	Inactive	08/24/1998
Surety	05/27/1994	Inactive	08/24/1998

Company Name	Appointment Type	Status	Active Date
7
AETNA LIFE INSURANCE COMPANY	Health	Active	11/30/2021
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Health	Active	09/19/2019
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	09/19/2019
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	12/07/2023
378
Company Name	Appointment Type	Status	Active Date
LINCOLN NATIONAL LIFE INSURANCE COMPANY	Health	Active	09/19/2012
	Life	Active	09/19/2012
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	09/19/2019
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	10/25/2023

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
BAKER INSURANCE GROUP LLC	Designated Resp Lic Prdcr	Agency	09/04/2020	-

1 - 1