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Instructions - Texas Department of Insurance Consumer Help .xls

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					  Texas Department of Insurance                             Discount Healthcare Program Operator
  Licensing Division, Mail Code 9999                                      Marketers
  333 Guadalupe • P. O. Box 149104
  Austin, Texas 78714-9104


INSTRUCTIONS:

        1               Entity Marketers: As required by the Texas Insurance Code §7001.005(a)(4), use the Entity Marketers tab to provide a
                        listing of all the Entities under contract with the Program Operator to serve as Marketers.


        2               Individual Marketers: As required by the Texas Insurance Code §7001.005(a)(4), use the Individual Marketers tab to provide a
                        listing of all the Individuals under individual contract with the Program Operator to serve as Marketers.

        3               Private label: Use the far right column located in each tab for both Entity and Individual Marketers to indicate whether the
                        marketer is authorized to private label the program operator’s programs.

        4               Please send this completed marketing information form to the following email address upon the initial registration
                        application, and quarterly not later than each June 30th, September 30th, December 31st, and March 31st.
                        TDI-DiscountHealth@tdi.state.tx.us




  LHL629 Rev 2. 03/10                                                                                                                                  Page 1 of 7
 Texas Department of Insurance                            Discount Healthcare Program Operator
 Licensing Division, Mail Code 107-1A                                   Marketers
 333 Guadalupe • P. O. Box 149104
 Austin, Texas 78714-9104

Please list all Entities under contract with the Program Operator to serve as a Marketer.

Program Operator's Name:                United Service Association For Health Care



             Marketer name                        Mailing Address Line 1                 Mailing Address Line 2
                                                                                     2302 POSTOFFICE ST STE
MOODY INSURANCE GROUP, INC                                                           601
NHU/TW1                                 1901 N STATE HIGHWAY 360
NHU/TW2                                 1901 N STATE HIGHWAY 360
SENIORS CHOICE, LLC                     5450 NW CENTRAL DR. #213
NASE MARKETING, INC.                    1235 S. MAIN ST., SUITE 250
NHU/BW1                                 1901 N STATE HWY 360
NHU/BW2                                 1901 N STATE HWY 360
NHU/RB1                                 1901 N. STATE HWY 360
NHU/RB2                                 PO BOX 1474
COMBINED PRODUCERS, INC.                1408 CHICKASAW DR
COMBINED PRODUCERS, INC.                1408 CHICKASAW DR




 LHL629 Rev. 03/08                                                                                                Page 2 of 7
Texas Department of Insurance                       Discount Healthcare Program Operator
Licensing Division, Mail Code 107-1A                              Marketers
333 Guadalupe • P. O. Box 149104
Austin, Texas 78714-9104




                    City               State    Zip Code            Contact Name           Contact Phone Number

            GALVESTON                   TX       77550                 Shelley W.           8002524002 EXT 23
           GRAND PRAIRIE                TX     75050-1412              Troy Wood               817-303-3399
           GRAND PRAIRIE                TX     75050-1412              Troy Wood               817-303-3399
              HOUSTON                   TX       77092          seniorschoice1@aol.com
             GRAPEVINE                  TX       76051                 C.Taggart               617-417-0001
           GRAND PRAIRIE                TX       75050                Beau Wood                817-461-4240
           GRAND PRAIRIE                TX       75050                Beau Wood                817-461-4240
           GRAND PRAIRIE                TX       75050                Rusty Brock               8594851463
              ROANAKE                   TX       76262                Rusty Brock               8594851463
            RICHARDSON                  TX     75080-3723              J.McMillin               2143548661
            RICHARDSON                  TX     75080-3723              J.McMillin               2143548661




LHL629 Rev. 03/08                                                                                                 Page 3 of 7
Texas Department of Insurance                          Discount Healthcare Program Operator
Licensing Division, Mail Code 107-1A                                 Marketers
333 Guadalupe • P. O. Box 149104
Austin, Texas 78714-9104




                                       Place an 'X' if authorized
                                           to Private Label
           WebSite Address               Operator's Programs

    shelleyw@moodygroup.com
     TROY.WOOD@NHC.NET
     TROY.WOOD@NHC.NET
      seniorschoice1@aol.com
      ctaggart@nasecare.com
        beau.wood@nhc.net
        beau.wood@nhc.net
        rusty.brock@nhc.net
         rusty.brock@att.net
   info@getyourquoteonline.com
   info@getyourquoteonline.com




LHL629 Rev. 03/08                                                                             Page 4 of 7
 Texas Department of Insurance                        Discount Healthcare Program Operator
 Licensing Division, Mail Code 107-1A                               Marketers
 333 Guadalupe • P. O. Box 149104
 Austin, Texas 78714-9104

Please list all Individuals under individual contract with the Program Operator to serve as Marketers.

Program Operator's Name:       United Service Association For Health Care




            First Name                    Middle Name                          Last Name                    Mailing Address Line 1

            TeamCorp
             AARON                                                              CLARK                        4275 LITTLE ROAD
             ADRIAN                                                             GARCIA                       5700 N. 23RD LANE
              ALAN                                                              SHIELD                         2918 RR 620 N
             Alberto                                                             Vega                         11700 Snow Circle

          ALEXANDRA                                                            ROMERO                            PO BOX 2491
             ALLAN                                                               BLAIN                       2929 HAYES RD. #1311
          ANDERSON                                                             MATHURIN                  6200 GREENS ROAD APT 1626
           ANDREA                                                             GONZALES                      13800 ELLA BLVD #D308
           ANDREA                                                             KIESCHNICK                 4502 BRIDGESTONE CLIFF CT
             Angela                                                               Fritz                        9814 Ravenswood
            ANGELA                                                             HOWARD                        16526 GAELDOM LANE




 LHL629 Rev. 03/08                                                                                                                   Page 5 of 7
Texas Department of Insurance                      Discount Healthcare Program Operator
Licensing Division, Mail Code 107-1A                             Marketers
333 Guadalupe • P. O. Box 149104
Austin, Texas 78714-9104




   Mailing Address Line 2                 City         State    Zip Code        Contact Name   Contact Phone Number


                                       ARLINGTON        TX       76016                             8175616925
                                        MCALLEN         TX       78504
                                         AUSTIN         TX       78734                              5127433430
                                         El Paso        TX       79936                             915-849-0845

                                       MCALLEN          TX       78502                             5128796398
                                       HOUSTON          TX       77082
                                        HUMBLE          TX       77396
                                       HOUSTON          TX       77014                             8322825820
                                        SPRING          TX     77388-3559                          2817338375
                                        Granbury        TX       76049
                                       HOUSTON          TX       77084




LHL629 Rev. 03/08                                                                                                     Page 6 of 7
Texas Department of Insurance                          Discount Healthcare Program Operator
Licensing Division, Mail Code 107-1A                                 Marketers
333 Guadalupe • P. O. Box 149104
Austin, Texas 78714-9104




                                       Place an 'X' if authorized
                                           to Private Label
           WebSite Address               Operator's Programs


 aaronaffinitygroup@sbcglobal.net
  romangarciaadrian@yahoo.com
      Aj.shield@yahoo.com
     republicvega@msn.com
ALEXANDRA.INSURANCE@INBOX.
                 COM
     allanrblain@hotmail.com
        zusham@gmail.com
      msagonzales@aol.com
    akieschnick@netzero.com
          ajfritz@aol.com
        angihoward@att.net




LHL629 Rev. 03/08                                                                             Page 7 of 7

				
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