black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARYKATE KEATING ELLIS

PRODUCER NON-RESIDENT

License Number:
PRN480849
Status:
First Licensure:
04/04/2024
Cancel Date:
None

Mailing:
NORCROSS, GA 30093
Phone:
+1 (561) 869-4722
Email:
compliance@ugpinc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/04/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
CARYNHEALTH MANAGEMENT SERVICES, LLC
08/14/2025 AGN523779
UNITED GROUP PROGRAMS INC
04/04/2024 AGN138320

Employer

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

Authority

Description Issue Date Termination Date Status
HEALTH 04/04/2024 Active
LIFE 04/04/2024 Active

Responsible For

Name License Number
CARYNHEALTH MANAGEMENT SERVICES, LLC AGN523779

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20034605

Other Addresses

Address Type
3145 AVALON RIDGE PL STE 300
PEACHTREE CORNERS, GA 30071-1543
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: 01/21/2026 07:04:46 AM