black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COVERAGE ONE INS GROUP LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN233874
Status:
Active
First Licensure:
06/14/2014
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
20087 WATERS EDGE DR APT 205
BOCA RATON, FL 33434-3579
Mailing:
PO BOX 880768
BOCA RATON, FL 33488-0768
Phone:
+1 (888) 288-6302
Fax:
+1 (888) 288-6404
Email:
beth@coverageoneinsurance.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/14/2014 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
 01/22/2021 HMD45749
AMERICAN GENERAL LIFE INSURANCE COMPANY
 03/09/2016 LHF119
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 04/14/2022 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 08/28/2023 LHF374
AMERITAS LIFE INSURANCE CORP
 10/17/2021 LHF944
ASSURITY LIFE INSURANCE COMPANY
 01/19/2016 LHF179 11/15/2016
AXA XL INSURANCE COMPANY AMERICAS
 06/13/2017 PCF189896
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 07/28/2021 LHF214634
CHESAPEAKE LIFE INSURANCE COMPANY
 09/11/2017 LHF699 02/05/2021
CHESAPEAKE LIFE INSURANCE COMPANY
 06/16/2023 LHF699 02/03/2025
GERBER LIFE INSURANCE COMPANY
 01/24/2022 LHF185
GOLDEN RULE INSURANCE COMPANY
 08/21/2014 LHF918
HCC LIFE INSURANCE COMPANY
 11/11/2016 LHF133704 06/12/2017
MEDICO INSURANCE COMPANY
 07/29/2016 LHF520 10/23/2017
MEDICO INSURANCE COMPANY
 06/12/2018 LHF520 12/26/2018
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 05/25/2020 LHF58195
TIER ONE INSURANCE COMPANY
 10/07/2021 LHF952
UNITEDHEALTHCARE INSURANCE COMPANY
 05/25/2020 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
 05/25/2020 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
 07/20/2022 HMF376407
WELLCARE OF MAINE, INC.
 04/14/2022 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
 04/14/2022 LHF121869

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
SYDNEE ALLEN
 09/23/2020 PRN362025
ROSE AUGUSTIN
 02/21/2020 PRN316762
JESSICA BALDONADO
 09/23/2020 PRN362015
KIANA BARRON
 03/17/2022 PRN337794
DIANE BOWEN
 03/17/2022 PRN319802
ALEXANDRA MICHELLE DEANDRADE
 03/17/2022 PRN388716
TYREL L. DENNY
 03/17/2022 PRN321974
SAMUEL JACOB DUNMYRE
 01/05/2021 PRN372098
BETH ETTINGER
 03/17/2022 PRN208574
DAVID HARRY ETTINGER
 06/14/2014 PRN188139
RAYMOND EVANS
 07/01/2021 PRN387319
KENISHA GREEN
 03/17/2022 PRN275146
CORY G. HUSTON
 03/17/2022 PRN339560
CARMEN JOSEPH
 09/23/2020 PRN362019
CAITLIN MCHALE
 09/23/2020 PRN362011
ALBERTO JOSE MORENO-CALZADILLA
 11/14/2019 PRN264843
KEVIN ALAN NEWMAN
 03/17/2022 PRN316915
COURTNEY SCRIVENS
 09/23/2020 PRN362013
ERIKA SMITH
 10/14/2020 PRN365240
JASON ST CLAIR
 03/17/2022 PRN298725

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
DAVID HARRY ETTINGER PRN188139

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16185632

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: 06/20/2025 12:30:50 PM