black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PATRIOT HEALTH INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN131914
Status:
First Licensure:
10/04/2006
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2540 METROCENTRE BLVD STE 5
WEST PALM BEACH, FL 33407-3108
Mailing:
2540 METROCENTRE BLVD STE 5
WEST PALM BEACH, FL 33407-3108
Phone:
+1 (516) 576-9264 x206
Fax:
+1 (516) 576-9268
Email:
corporateaffairs@ccgfamily.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/04/2006 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
06/27/2008 HMD45749 08/12/2011
AETNA LIFE INSURANCE COMPANY
06/27/2008 LHF621 08/12/2011
ATHENE ANNUITY & LIFE ASSURANCE COMPANY OF NEW YORK
03/20/2008 LHF47099 01/26/2012
STARR INDEMNITY & LIABILITY COMPANY
06/01/2011 PCF1010 08/12/2019
UNITED STATES FIRE INSURANCE COMPANY
06/12/2011 PCF101256

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
TRACY BOURANDAS
02/06/2013 PRN187040
ROBERT BRUCE HODES
10/04/2006 PRN127455

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
TRACY BOURANDAS PRN187040

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8869302

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: 05/16/2025 06:41:02 PM