black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NATIONAL SERVICE GROUP OF AMERILIFE LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN170795
Status:
First Licensure:
10/08/2009
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2650 MCCORMICK DR STE 200S
CLEARWATER, FL 33759-1005
Mailing:
2650 MCCORMICK DR STE 200S
CLEARWATER, FL 33759-1005
Phone:
+1 (727) 216-0859
Fax:
+1 (727) 791-0447
Email:
entity@amerilife.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/08/2009 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
08/14/2012 HMD45749
AETNA LIFE INSURANCE COMPANY
08/14/2012 LHF621
AMERICAN GENERAL LIFE INSURANCE COMPANY
04/06/2015 LHF119
AMERICAN NATIONAL INSURANCE COMPANY
10/25/2010 LHF11
AMERITAS LIFE INSURANCE CORP
09/23/2018 LHF944
AMH HEALTH PLANS OF MAINE, INC.
10/18/2020 LHD353013 03/17/2021
AMH HEALTH, LLC
10/01/2019 HMD329485 03/17/2021
ANTHEM HEALTH PLANS OF MAINE INC.
10/01/2019 LHD70566 03/25/2021
ANTHEM LIFE INSURANCE COMPANY
10/01/2019 LHF70467 03/25/2021
ARCADIAN HEALTH PLAN INC
10/10/2012 HMF112421
CHESAPEAKE LIFE INSURANCE COMPANY
01/25/2019 LHF699 02/03/2025
CIGNA HEALTH AND LIFE INSURANCE COMPANY
04/19/2022 LHF860
CLEAR SPRING LIFE AND ANNUITY COMPANY
10/07/2024 LHF190587
FIDELITY SECURITY LIFE INSURANCE COMPANY
09/22/2014 LHF972
GERBER LIFE INSURANCE COMPANY
05/19/2013 LHF185
GOLDEN RULE INSURANCE COMPANY
09/03/2013 LHF918
GREAT WESTERN INSURANCE COMPANY
10/04/2023 LHF83790 09/18/2024
HUMANA INSURANCE COMPANY
09/21/2012 LHF980
LOYAL AMERICAN LIFE INSURANCE COMPANY
07/14/2018 LHF207 12/18/2018
LOYAL AMERICAN LIFE INSURANCE COMPANY
02/28/2019 LHF207
LUMICO LIFE INSURANCE COMPANY
08/02/2020 LHF300009 11/20/2024
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
03/20/2025 LHF183
MEDICO INSURANCE COMPANY
10/04/2023 LHF520
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
05/13/2016 LHF62021
OCEANVIEW LIFE AND ANNUITY COMPANY
09/25/2020 LHF358208
SILVERSCRIPT INSURANCE COMPANY
05/28/2015 LHF132429
STATE LIFE INSURANCE COMPANY
02/07/2016 LHF984
TIER ONE INSURANCE COMPANY
07/02/2024 LHF952
TRANSAMERICA LIFE INSURANCE COMPANY
12/13/2018 LHF726
UNITEDHEALTHCARE INSURANCE COMPANY
08/16/2010 LHF700 06/19/2012
WASHINGTON NATIONAL INSURANCE COMPANY
08/17/2012 LHF294
WELLCARE PRESCRIPTION INSURANCE INC
12/19/2018 LHF121869 06/30/2022

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MATTHEW B. GRAHAM
03/17/2022 PRN228355

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MATTHEW B. GRAHAM PRN228355

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
14203513

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: 10/15/2025 04:28:09 AM