black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEFFREY LLOYD FALLICK

PRODUCER NON-RESIDENT

License Number:
PRN171688
Status:
First Licensure:
10/24/2009
Cancel Date:
None

Mailing:
ATLANTA, GA 30339
Phone:
+1 (770) 250-2900
Fax:
+1 (650) 567-9401
Email:
compliance@onedigital.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/24/2009

Agency

Name Issue Date License Number Expiration Date Cancel Date
DIGITAL INSURANCE LLC
01/16/2025 AGN76969
FALLICK INS SERVICES INC
11/05/2009 AGN172127 07/01/2013

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
09/04/2012 HMD45749
AETNA LIFE INSURANCE COMPANY
09/04/2012 LHF621
ANTHEM HEALTH PLANS OF MAINE INC.
08/01/2017 LHD70566
ANTHEM LIFE INSURANCE COMPANY
08/01/2017 LHF70467 04/11/2025
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA
01/06/2020 LHF916
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/29/2009 LHF250 05/29/2019
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
06/17/2025 LHF250
STANDARD INSURANCE COMPANY
12/19/2024 LHF991
STARMOUNT LIFE INSURANCE COMPANY
06/17/2025 LHD131525
UNITED OF OMAHA LIFE INSURANCE COMPANY
11/17/2021 LHF28
UNUM INSURANCE COMPANY
06/17/2025 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/29/2009 LHD145 05/29/2019
UNUM LIFE INSURANCE COMPANY OF AMERICA
06/17/2025 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 10/24/2009 Active
LIFE 10/24/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2642402

Other Addresses

Address Type
19200 STEVENS CREEK BLVD STE 110
CUPERTINO, CA 95014-2530
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: 10/06/2025 08:01:19 AM