Individual Information

PATRIC R CREAMER

CEDAR CITY, UT 84721

Active

creamer@mountainwest.net

08/05/1994

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	11311	10/01/2001	Active	10/01/2001	08/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Health	07/13/1982	Inactive	10/01/2001
Life	07/13/1982	Inactive	10/01/2001
Var. Annuities/Var. Life	08/05/1994	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1099
ANTHEM LIFE INSURANCE COMPANY	Health	Active	07/01/2021
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Health	Active	06/01/2018
	Life	Active	08/11/2003
827
Company Name	Appointment Type	Status	Active Date
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA	Health	Active	11/05/2019
	Life	Active	11/05/2019
401
Company Name	Appointment Type	Status	Active Date
METROPOLITAN LIFE INSURANCE COMPANY	Health	Active	11/26/2014
	Life	Active	11/26/2014
415
Company Name	Appointment Type	Status	Active Date
MINNESOTA LIFE INSURANCE COMPANY	Health	Active	04/20/2018
	Life	Active	04/20/2018
	Var. Annuities/Var. Life	Active	04/20/2018
457
Company Name	Appointment Type	Status	Active Date
NATIONAL WESTERN LIFE INSURANCE COMPANY	Life	Active	01/23/2013
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	09/25/1997
	Life	Active	09/25/1997
	Var. Annuities/Var. Life	Active	03/25/2002
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Health	Active	12/31/2012
	Life	Active	12/31/2012

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
CREAMER INS AGENCY INC	Designated Resp Lic Prdcr	Agency	09/17/2020	-

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