Agency Information

NATIONAL SENIOR INSURANCE SERVICES INC

Address:

85 N MAIN ST

MT CLEMENS, MI 48043

Phone

866-487-9887

URL:

Email:

david@mynsis.com

National Producer Number:

20770301

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3971239	01/02/2024	Active	01/02/2024	01/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	01/07/2026	Active	01/07/2026
Life	01/02/2024	Active	01/02/2024

Company Name	Appointment Type	Status	Active Date
166
COLONIAL PENN LIFE INSURANCE COMPANY	Life	Active	06/05/2024
174724
Company Name	Appointment Type	Status	Active Date
HEALTH NET OF ARIZONA, INC. DBA WELLCARE WELLCARE BY ALLWELL	Health	Active	01/09/2026
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	01/09/2026

row(s) 1 - 3 of 3

Name	Association Type	Agent	Begin Date	End Date
DAVID A DZIEWIT	Designated Resp Lic Prdcr	No	01/07/2026	-
JEFFREY KARAM	Designated Resp Lic Prdcr	No	01/02/2024	-

1 - 2