black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HEALTHCARE INTERACTIVE, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN498716
Status:
First Licensure:
10/17/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
6011 UNIVERSITY BLVD STE 360
ELLICOTT CITY, MD 21043-6106
Mailing:
6011 UNIVERSITY BLVD STE 360
ELLICOTT CITY, MD 21043-6106
Phone:
+1 (866) 397-9731
Fax:
+1 (888) 977-3280
Email:
licensing@hciactive.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/17/2024 04/01/2027

Alias, DBA or Trade Name

Name
HCIACTIVE

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/30/2024 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
12/30/2024 PCF44
COMBINED INSURANCE COMPANY OF AMERICA
12/30/2024 LHF144

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
GRACE CHA
06/24/2025 PRN519064
SCOTT W. LONG
05/07/2025 PRN112799

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
SCOTT W. LONG PRN112799

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21105291

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: 10/12/2025 10:05:57 AM