black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GRACE CHA

PRODUCER NON-RESIDENT

License Number:
PRN519064
Status:
First Licensure:
06/24/2025
Cancel Date:
None

Mailing:
CLARKSVILLE, MD 21029
Phone:
+1 (866) 397-9731
Email:
grace.lee@hciactive.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/24/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEALTHCARE INTERACTIVE, INC.
06/24/2025 AGN498716

Employer

None.

Authority

Description Issue Date Termination Date Status
HEALTH 06/24/2025 Active
LIFE 06/24/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21626923

Other Addresses

Address Type
6011 UNIVERSITY BLVD
ELLICOTT CITY, MD 21043-6074
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: 10/12/2025 02:29:22 PM