black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CARYNHEALTH MANAGEMENT SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN523779
Status:
First Licensure:
08/14/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
8 THE GRN STE A
DOVER, DE 19901-3618
Mailing:
3700 MANSELL RD STE 250
ALPHARETTA, GA 30022-1520
Phone:
+1 (800) 915-9497
Email:
compliance@carynhealthms.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/14/2025 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/09/2025 PCF640
EVEREST REINSURANCE COMPANY
10/16/2025 PCF757
FEDERAL INSURANCE COMPANY
12/09/2025 PCF439

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MARYKATE KEATING ELLIS
08/14/2025 PRN480849

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MARYKATE KEATING ELLIS PRN480849

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21639368

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: 12/18/2025 10:09:10 AM