black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TRACY BOURANDAS

PRODUCER NON-RESIDENT

License Number:
PRN187040
Status:
First Licensure:
02/08/2011
Cancel Date:
None

Mailing:
PLAINVIEW, NY 11803
Phone:
+1 (561) 450-5877
Fax:
+1 (561) 427-7508
Email:
corporateaffairs@ccgfamily.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/08/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
PATRIOT HEALTH INC
02/06/2013 AGN131914
UNITED HEALTH PROGRAMS OF AMERICA INC
02/03/2017 AGN130172 06/30/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
GUARANTEE TRUST LIFE INSURANCE COMPANY
08/02/2018 LHF191 11/26/2019
STARR INDEMNITY & LIABILITY COMPANY
09/23/2011 PCF1010 08/12/2019
ZURICH AMERICAN INSURANCE COMPANY
08/09/2021 PCF61397

Authority

Description Issue Date Termination Date Status
HEALTH 02/08/2011 Active
LIFE 02/08/2011 Active

Responsible For

Name License Number
PATRIOT HEALTH INC AGN131914

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8952362

Other Addresses

Address Type
2540 METROCENTRE BLVD STE 5
WEST PALM BEACH, FL 33407-3108
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: 12/11/2025 01:30:52 PM