black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

2015-29216

Date Opened:
04/01/2015
Date Closed:
05/28/2015
Respondent Name:
Respondent License:
PRR52999

Consent Order

Resolution Date:
05/28/2015
Document:

Basis for Action

Description
Criminal Record/History
Failure to Make Required Disclosure on Application

Action Details

Description Value
Monetary Penalty $500.00
Date: 05/14/2025 11:24:10 AM