black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PROFESSIONAL SERVICE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN194275
Status:
First Licensure:
09/15/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
4245 UPPER PARK DR
FAIRFAX, VA 22030-8550
Mailing:
4245 UPPER PARK DR
FAIRFAX, VA 22030-8550
Phone:
+1 (703) 879-8828
Fax:
+1 (703) 935-1313
Email:
geoffrey@psiservice.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/15/2011 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
UNITEDHEALTHCARE INSURANCE COMPANY
08/29/2012 LHF700 08/12/2025
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375 08/12/2025

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
HONG GAO
09/15/2011 PRN193930

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
HONG GAO PRN193930

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3006548

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/23/2025 02:04:41 PM