DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Falcon, George H	DOIID	753905	NAIC NPN	16209828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/18/2024		3/31/2026
Inactive	Non Resident	Agent	Life	5/9/2011	3/31/2016
Inactive	Non Resident	Agent	Health	5/9/2011	3/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/17/2011	10/4/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/17/2011	10/4/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brown & Brown Absence Services Group LLC	1194975	Administrator - Not Applicable	6/20/2024
Inactive	Professional Disability Associates	797191	Administrator - Not Applicable	2/2/2022	3/24/2023