DEPARTMENT OF INSURANCE

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.

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