black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ALICIA BRIANNA FULFORD

PRODUCER NON-RESIDENT

License Number:
PRN434074
Status:
First Licensure:
10/14/2022
Cancel Date:
None

Mailing:
MIAMI GARDENS, FL 33056
Phone:
+1 (513) 592-6072
Fax:
+1 (913) 393-5172
Email:
cvg.licensing@concentrix.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/14/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
11/03/2022 LHD353013 07/29/2024
AMH HEALTH, LLC
10/14/2022 HMD329485 07/29/2024
ANTHEM HEALTH PLANS OF MAINE INC.
10/14/2022 LHD70566 07/29/2024
ANTHEM INSURANCE COMPANIES INC
10/14/2022 LHF125537 07/29/2024
CIGNA HEALTH AND LIFE INSURANCE COMPANY
08/15/2023 LHF860 01/10/2025
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
11/27/2023 LHF183 02/13/2025
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
02/10/2026 LHF183

Authority

Description Issue Date Termination Date Status
HEALTH 10/14/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20470878

Other Addresses

Address Type
100 SPRINGHOUSE DR
COLLEGEVILLE, PA 19426-4709
Office

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: 02/13/2026 04:33:19 PM