black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADAM D. BRUCKMAN

PRODUCER NON-RESIDENT

License Number:
PRN88059
Status:
First Licensure:
08/07/2002
Cancel Date:
None

Mailing:
ATLANTA, GA 30339
Phone:
+1 (770) 250-2900
Fax:
+1 (770) 250-3036
Email:
compliance@onedigital.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/07/2002

Agency

Name Issue Date License Number Expiration Date Cancel Date
CENTRO BENEFITS RESEARCH LLC
02/11/2020 AGN349110
DIGITAL INSURANCE LLC
08/07/2002 AGN76969
EOI SERVICE CO LLC
01/28/2025 AGN249357
KISTLER TIFFANY BENEFITS GENERAL AGENCY LLC
02/15/2020 AGN349422

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/24/2002 HMD45749
AETNA LIFE INSURANCE COMPANY
10/24/2002 LHF621
ALL SAVERS INSURANCE COMPANY
05/13/2020 LHF233900
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
03/01/2007 LHF645 04/01/2018
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/01/2018 LHF306110 06/28/2021
AMERICAN HERITAGE LIFE INSURANCE COMPANY
04/10/2022 LHF594
AMERICAN PUBLIC LIFE INSURANCE COMPANY
02/05/2021 LHF116646 07/06/2023
ANTHEM HEALTH PLANS OF MAINE INC.
05/15/2015 LHD70566
ANTHEM LIFE INSURANCE COMPANY
05/15/2015 LHF70467 04/11/2025
BANNER LIFE INSURANCE COMPANY
10/28/2002 LHF50047 10/28/2002
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
03/06/2007 LHF804 10/13/2020
BOSTON MUTUAL LIFE INSURANCE COMPANY
09/29/2016 LHF135
CHASE INSURANCE LIFE AND ANNUITY COMPANY
05/10/2003 LHF165 04/01/2007
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
12/10/2015 LHF100
CONSECO INSURANCE COMPANY
11/02/2004 LHF45791 01/25/2007
DEARBORN LIFE INSURANCE COMPANY
07/23/2007 LHF919
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
03/06/2007 LHF644
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
12/27/2002 LHF193 09/24/2012
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
07/26/2016 LHF193
HCC LIFE INSURANCE COMPANY
11/02/2016 LHF133704 09/21/2017
HUMANA INSURANCE COMPANY
06/04/2007 LHF980 12/18/2018
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873 12/18/2018
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
01/10/2014 LHF619
MAINE DENTAL SERVICE CORP
02/19/2020 NPD29330
METROPOLITAN LIFE INSURANCE COMPANY
05/05/2006 LHF380 06/06/2015
METROPOLITAN LIFE INSURANCE COMPANY
06/15/2015 LHF380
NATIONWIDE LIFE INSURANCE COMPANY
11/16/2011 LHF29
PEOPLES BENEFIT LIFE INSURANCE COMPANY
08/27/2002 LHF223 01/17/2003
PRINCIPAL LIFE INSURANCE COMPANY
12/08/2006 LHF406
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
04/03/2019 LHF161852
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
05/14/2013 LHF250
RED TREE INSURANCE COMPANY INC
09/01/2015 LHF174438
RELIANCE STANDARD LIFE INSURANCE COMPANY
08/01/2015 LHF254
SECURIAN LIFE INSURANCE COMPANY
04/03/2007 LHF120264
STANDARD INSURANCE COMPANY
12/19/2024 LHF991
SUN LIFE AND HEALTH INSURANCE COMPANY (US)
12/26/2002 LHF857 08/17/2009
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
07/19/2016 LHF271
TIME INSURANCE COMPANY
08/28/2002 LHF276 02/27/2020
UNION SECURITY INSURANCE COMPANY
05/13/2004 LHF295 11/25/2020
UNITED CONCORDIA INSURANCE COMPANY
10/06/2015 LHF85353
UNITED OF OMAHA LIFE INSURANCE COMPANY
10/28/2002 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
11/11/2002 LHF700 03/19/2014
UNITEDHEALTHCARE INSURANCE COMPANY
11/09/2015 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375
UNUM LIFE INSURANCE COMPANY OF AMERICA
05/14/2013 LHD145
WILCO LIFE INSURANCE COMPANY
10/06/2004 LHF213 09/13/2007

Authority

Description Issue Date Termination Date Status
HEALTH 08/07/2002 Active
LIFE 08/07/2002 Active

Responsible For

Name License Number
EOI SERVICE CO LLC AGN249357

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1015391

Other Addresses

Address Type
200 GALLERIA PKWY SE STE 1950
ATLANTA, GA 30339-5946
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: 05/14/2025 12:08:36 PM