Individual Information

RAYMOND A SALAZAR

KINGS BEACH, CA 96143

Active

raysalazar1024@gmail.com

07/07/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	60833	10/01/2001	Active	10/01/2001	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Casualty	05/03/2001	Inactive	10/01/2001
Health	05/03/2001	Inactive	10/01/2001
Life	07/07/1999	Inactive	10/01/2001
Property	05/03/2001	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	07/20/2007
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	09/11/2017
	Property	Active	09/11/2017
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	05/03/2001
	Life	Active	05/03/2001
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	09/11/2017
	Property	Active	09/11/2017
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	04/21/2003
	Property	Active	04/21/2003
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	09/01/2005
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	09/11/2017
	Property	Active	09/11/2017
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	09/01/2005
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	09/11/2017
	Property	Active	09/11/2017

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
ASC AGENCY PARTNERS LLC	Designated Resp Lic Prdcr	Agency	04/30/2024	-

1 - 1