Agency Information

MCSIS INS AGENCY LLC

Address:

2716 S 6TH AVE

TUCSON, AZ 85713

Phone

480-718-9323

URL:

Email:

entity@amerilife.com

National Producer Number:

16753113

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	891085	07/19/2013	Active	07/19/2013	07/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/19/2013	Active	07/19/2013
Life	07/19/2013	Active	07/19/2013

Company Name	Appointment Type	Status	Active Date
120736
SCAN HEALTH PLAN NEVADA DBA SCAN HEALTH PLAN	Health	Active	09/23/2021

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
JOSHUA ALAN BORDERS	Designated Resp Lic Prdcr	Yes	02/24/2025	-

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