Agency Information

SIGNATURE ESTATES OF INDIAN, LLC

Address:

20236 HAGUE RD

NOBLESVILLE, IN 46062

Phone

317-776-6770

URL:

Email:

entity@amerilife.com

National Producer Number:

2099591

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3470348	09/03/2019	Active	09/03/2019	09/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/03/2019	Active	09/03/2019
Life	09/03/2019	Active	09/03/2019

Company Name	Appointment Type	Status	Active Date
178845
CARESOURCE NEVADA CO	Health	Active	09/19/2025
174724
Company Name	Appointment Type	Status	Active Date
HEALTH NET OF ARIZONA, INC. DBA WELLCARE WELLCARE BY ALLWELL	Health	Active	10/06/2024
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	03/27/2025
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	07/16/2022

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
REBECCA M GORDON	Designated Resp Lic Prdcr	Yes	02/19/2021	-

1 - 1