black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARLA MOSES BULLOCK

PRODUCER NON-RESIDENT

License Number:
PRN387261
Status:
First Licensure:
07/01/2021
Cancel Date:
None

Mailing:
INDIANAPOLIS, IN 46254
Phone:
+1 (513) 592-6072
Fax:
+1 (913) 393-5172
Email:
cvg.licensing@concentrix.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/01/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
SUTHERLAND GLOBAL SERVICES INC
11/29/2021 AGN111757 03/14/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
11/15/2024 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
11/15/2024 PCF44
AMERICAN GENERAL LIFE INSURANCE COMPANY
03/09/2022 LHF119 01/25/2024
AMERICAN GENERAL LIFE INSURANCE COMPANY
03/11/2024 LHF119 08/26/2024
AMH HEALTH PLANS OF MAINE, INC.
07/17/2023 LHD353013 03/21/2024
AMH HEALTH, LLC
07/17/2023 HMD329485 03/21/2024
ANTHEM HEALTH PLANS OF MAINE INC.
07/17/2023 LHD70566 03/21/2024
ANTHEM INSURANCE COMPANIES INC
07/17/2023 LHF125537 03/21/2024
COLONIAL PENN LIFE INSURANCE COMPANY
05/20/2025 LHF143
COMBINED INSURANCE COMPANY OF AMERICA
11/05/2024 LHF144
EMPIRE HEALTHCHOICE HMO, INC.
07/17/2023 HMF285382 03/21/2024
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY
03/08/2022 LHF854 05/11/2022
GOLDEN RULE INSURANCE COMPANY
02/05/2025 LHF918
MEMBERS LIFE INSURANCE COMPANY
03/18/2022 LHF756 03/29/2022
MEMBERS LIFE INSURANCE COMPANY
01/11/2024 LHF756 05/21/2024
UNITED OF OMAHA LIFE INSURANCE COMPANY
02/18/2022 LHF28 11/15/2022
UNITED OF OMAHA LIFE INSURANCE COMPANY
12/19/2023 LHF28 11/22/2024

Authority

Description Issue Date Termination Date Status
HEALTH 07/01/2021 Active
LIFE 11/29/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8930806

Other Addresses

Address Type
INDIANAPOLIS, IN 46254
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: 01/26/2026 08:07:01 AM