Individual Information

JAMIE D NIELSEN

SPANISH FORK, UT 84660-5238

Active

jamie@goamericanbenefits.com

12/20/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3300582	12/20/2017	Active	12/20/2017	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/20/2017	Active	12/20/2017
Health	02/17/2023	Active	02/17/2023
Life	02/17/2023	Active	02/17/2023
Property	12/20/2017	Active	12/20/2017

Company Name	Appointment Type	Status	Active Date
146
CHARTER OAK FIRE INSURANCE COMPANY (THE)	Casualty	Active	11/06/2020
	Property	Active	11/06/2020
146052
Company Name	Appointment Type	Status	Active Date
SELECTHEALTH INC	Health	Active	02/22/2023
4
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY AND SURETY COMPANY	Casualty	Active	10/19/2022
	Property	Active	10/19/2022
1054
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA	Casualty	Active	07/31/2024
	Property	Active	07/31/2024
814
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA	Casualty	Active	10/19/2022
	Property	Active	10/19/2022
650
Company Name	Appointment Type	Status	Active Date
TRAVELERS INDEMNITY COMPANY (THE)	Casualty	Active	10/28/2022
	Property	Active	10/28/2022
651
Company Name	Appointment Type	Status	Active Date
TRAVELERS INDEMNITY COMPANY OF AMERICA (THE)	Casualty	Active	10/05/2020
	Property	Active	10/05/2020
822
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA	Casualty	Active	10/19/2022
	Property	Active	10/19/2022

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
ALPINE INSURANCE AGENCY LC	Designated Resp Lic Prdcr	Agency	03/23/2023	-
AMERICAN BENEFITS COMPANY - RISK AND INSURANCE LLC	Designated Resp Lic Prdcr	Agency	10/08/2020	-

1 - 2