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Details for SELPH, ETHAN WAYNE

Agent Details
Name
SELPH, ETHAN WAYNE 
Address
2402 BERT DR NORTH MYRTLE BEACH, SC 29582-4322 
Business Phone
(843) 516-4527 
Internet
 
Email
ethanselph@yahoo.com  
Status
Active 
Issue Date
Sep 12, 2016 
License Status Expires Number
Non-Resident Producer Active Aug 31, 2022 583045
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Aug 16, 2016
      Accident & Health Inactive Issued: Aug 16, 2016
Resident Producer Inactive Aug 16, 2016 234659
      Accident & Health Inactive Issued: Nov 23, 2005
      Life Inactive Issued: Nov 23, 2005
Agency Affiliations City State License Number Active Date Status
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 514705 Apr 10, 2018 Active
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 418652 Apr 10, 2018 Active
Company Affiliations City State Type Active Date
AMERICAN GENERAL LIFE INSURANCE COMPANY MILWAUKEE WI Life Oct 21, 2016
AMERICAN GENERAL LIFE INSURANCE COMPANY MILWAUKEE WI Accident and Hlth or Sickness Aug 09, 2018
CIGNA HEALTH AND LIFE INSURANCE COMPANY PHILADELPHIA PA Life, Accident and Hlth or Sickness Nov 27, 2019
INDEPENDENCE AMERICAN INSURANCE COMPANY (AIC) NEW YORK NY Accident and Hlth or Sickness Aug 09, 2018
SelectHealth Inc MURRAY UT Accident and Hlth or Sickness Aug 09, 2018