DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Alliance Financial Group Of Florida Inc	DOIID	754587	NAIC NPN	16219978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/18/2011	3/31/2019
Inactive	Non Resident	Agent	Health	5/18/2011	3/31/2019
* 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	PHL Variable Insurance Company	300525	Agent - Life	8/15/2011	7/28/2015
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	8/2/2013	10/2/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/20/2011	4/8/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/20/2011	4/8/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fuller, Glen Allen	777233	Agent - Health	5/15/2012	3/31/2019
Inactive	Fuller, Glen Allen	777233	Agent - Life	5/15/2012	3/31/2019
Inactive	Hawkins, Michael D	752153	Agent - Health	5/18/2011	5/15/2012
Inactive	Hawkins, Michael D	752153	Agent - Life	5/18/2011	5/15/2012