Search → NATEA WALLACE
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
NATEA WALLACE
PRODUCER NON-RESIDENT
License Number:
PRN440276
Status:
First Licensure:
12/23/2022
Cancel Date:
None
Mailing:
RUSKIN, FL 33573
Phone:
+1 (800) 985-9449
Email:
contracting@medicareinsurance.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 12/23/2022 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| ASSURANCE IQ LLC |
06/27/2023 | AGN270226 | 06/07/2024 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS |
04/23/2025 | LHF306110 | ||
| AMH HEALTH PLANS OF MAINE, INC. |
01/03/2024 | LHD353013 | 03/08/2024 | |
| AMH HEALTH PLANS OF MAINE, INC. |
07/02/2024 | LHD353013 | 08/07/2024 | |
| AMH HEALTH, LLC |
01/03/2024 | HMD329485 | 03/08/2024 | |
| AMH HEALTH, LLC |
07/02/2024 | HMD329485 | 08/07/2024 | |
| ANTHEM HEALTH PLANS OF MAINE INC. |
01/03/2024 | LHD70566 | 03/08/2024 | |
| ANTHEM HEALTH PLANS OF MAINE INC. |
07/02/2024 | LHD70566 | 08/07/2024 | |
| ANTHEM INSURANCE COMPANIES INC |
01/03/2024 | LHF125537 | 03/08/2024 | |
| ANTHEM INSURANCE COMPANIES INC |
07/02/2024 | LHF125537 | 08/07/2024 | |
| CHESAPEAKE LIFE INSURANCE COMPANY |
01/13/2023 | LHF699 | 02/10/2023 | |
| EMPIRE HEALTHCHOICE HMO, INC. |
01/03/2024 | HMF285382 | 03/08/2024 | |
| EMPIRE HEALTHCHOICE HMO, INC. |
07/02/2024 | HMF285382 | 08/07/2024 | |
| UNITED OF OMAHA LIFE INSURANCE COMPANY |
08/15/2023 | LHF28 | 01/22/2025 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 12/23/2022 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
19949798
| Address | Type |
|---|---|
| 15472 BROAD BRUSH DR RUSKIN, FL 33573-0202 |
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: 05/25/2025 07:39:38 AM
