Report Covered by Category and Line of Authority ...

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Commonwealth of Puerto Rico Office of the Commissioner of Insurance Page 1 of 28 Arguinzoni Ramos Myrna Mansiones de los Cedros 156 Maga Cayey PR 00736 7872634811 Y 15487 Property & Casualty,Life,Disability 1/31/2016 Arrillaga Estrella Vanessa PO Box 13756 San Juan PR 00908 7875051239 [email protected] Y 10871 Life,Health Services,Property,Disability 3/31/2016 AZCONA STEPHEN 4941 SW 104TH TER COOPER CITY FL 33328-4048 9542614205 [email protected] N 100107000 Health Services,Variables,Life 7/30/2016 Acosta Jordan Jose Urb. Garden Ville D-24 Calle Argentina Guaynabo PR 00966 7876925083 [email protected] Y 21298 Life,Variables 3/31/2017 AGUIRRE CATHERINE 18710 SW 4TH ST PEMBROKE PINES FL 33029-5402 9546826677 [email protected] N 100108240 Health Services,Life 2/13/2017 ALBERTS ANITA 179 SHAW DR ACWORTH GA 30102- 3710 7706768844 [email protected] N 100108212 Life,Health Services 2/11/2017 ABREU ENRIQUE 4471 NW112 COURT DORAL FL 33178 3054424623 [email protected] N 6615 Life,Disability,Health Services 6/10/2016 ACEVEDO OCASIO FELIX PO BOX 140382 ARECIBO PR 00614- 0382 7873709545 [email protected] Y 100104455 Life,Health Services,Disability 1/31/2017 Acosta Gonzalez Jaime PO Box 9021293 San Juan PR 00902- 1293 7877910234 [email protected] Y 353 Title,Property & Casualty,Disability 5/31/2017 ANDREWS DIANA HEALTHPLAN SERVICES INC 3501 E FRONTAGE RD TAMPA FL 33607-1742 8132891000 [email protected] N 100109011 Health Services 6/3/2017 Aponte Otero Marisol PO Box 190645 San Juan PR 00919 7876305708 [email protected] Y 5437 Property & Casualty,Life 5/31/2016 Ares Ubarri Manuel PO Box 9021865 San Juan PR 00902 7876416567 Y 1126 Life,Disability,Property & Casualty,Title 5/31/2016 Alvarez Diaz Candida Los Eucaliptos 17009 Sanders Dr. Canovanas PR 00729-4525 7875981085 [email protected] Y 5444 Disability,Property & Casualty,Title,Life 6/30/2017 Alvarez Quinonez Alberto PO Box 41057 San Juan PR 00940 7876149456 [email protected] Y 168 Life,Property & Casualty,Disability,Title 8/31/2017 Alvarez Velazquez Jose PO Box 9934 San Juan PR 00988-9934 7879557054 [email protected] Y 8698 Life,Title,Property & Casualty,Disability 7/31/2016 Report Covered by Category and Line of Authority Individual - Producer NAME ADDRESS PHONE NUMBER EMAIL RESIDENT LICENSE NUMBER LINE OF AUTHORITY EXPIRATION DATE

Transcript of Report Covered by Category and Line of Authority ...

Commonwealth of Puerto Rico Office of the Commissioner of Insurance

Page 1 of 28

Arguinzoni Ramos Myrna Mansiones de los Cedros 156 Maga Cayey PR 00736

7872634811 Y 15487 Property & Casualty,Life,Disability

1/31/2016

Arrillaga Estrella Vanessa PO Box 13756 San Juan PR 00908 7875051239 [email protected] Y 10871 Life,Health Services,Property,Disability

3/31/2016

AZCONA STEPHEN 4941 SW 104TH TER COOPER CITY FL 33328-4048

9542614205 [email protected] N 100107000 Health Services,Variables,Life 7/30/2016

Acosta Jordan Jose Urb. Garden Ville D-24 Calle Argentina Guaynabo PR 00966

7876925083 [email protected] Y 21298 Life,Variables 3/31/2017

AGUIRRE CATHERINE 18710 SW 4TH ST PEMBROKE PINES FL 33029-5402

9546826677 [email protected] N 100108240 Health Services,Life 2/13/2017

ALBERTS ANITA 179 SHAW DR ACWORTH GA 30102-3710

7706768844 [email protected] N 100108212 Life,Health Services 2/11/2017

ABREU ENRIQUE 4471 NW112 COURT DORAL FL 33178 3054424623 [email protected] N 6615 Life,Disability,Health Services 6/10/2016

ACEVEDO OCASIO FELIX PO BOX 140382 ARECIBO PR 00614-0382

7873709545 [email protected] Y 100104455 Life,Health Services,Disability 1/31/2017

Acosta Gonzalez Jaime PO Box 9021293 San Juan PR 00902-1293

7877910234 [email protected] Y 353 Title,Property & Casualty,Disability

5/31/2017

ANDREWS DIANA HEALTHPLAN SERVICES INC 3501 E FRONTAGE RD TAMPA FL 33607-1742

8132891000 [email protected] N 100109011 Health Services 6/3/2017

Aponte Otero Marisol PO Box 190645 San Juan PR 00919 7876305708 [email protected] Y 5437 Property & Casualty,Life 5/31/2016

Ares Ubarri Manuel PO Box 9021865 San Juan PR 00902 7876416567 Y 1126 Life,Disability,Property & Casualty,Title

5/31/2016

Alvarez Diaz Candida Los Eucaliptos 17009 Sanders Dr. Canovanas PR 00729-4525

7875981085 [email protected] Y 5444 Disability,Property & Casualty,Title,Life

6/30/2017

Alvarez Quinonez Alberto PO Box 41057 San Juan PR 00940 7876149456 [email protected] Y 168 Life,Property & Casualty,Disability,Title

8/31/2017

Alvarez Velazquez Jose PO Box 9934 San Juan PR 00988-9934 7879557054 [email protected] Y 8698 Life,Title,Property & Casualty,Disability

7/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 2 of 28

BERGELAND NATHAN 7012 WILLOW CREEK ROAD EDEN PRAIRIE MN 55344

9528290000 [email protected] N 100109609 Life,Variables,Health Services,Disability

8/27/2017

Benitez Cirino Myrna 327 Calle Gautier Benitez San Juan PR 00915

7875987692 [email protected] Y 16452 Property & Casualty,Title,Disability

8/31/2016

Benitez Colon Jose PO Box 9023633 San Juan PR 00902 7876989814 [email protected] Y 12131 Property & Casualty,Disability,Title

8/31/2016

Benitez Miranda Manuel PO Box 19508 San Juan PR 00910 7877890782 Y 6505 Property & Casualty,Title,Life,Disability

10/31/2016

BANIGAN MICHAELFINANCIAL RISK SERVICES LLC 6900 DALLAS PKWY STE 200 PLANO TX 75024-7126

9726087160 [email protected] N 100107146 Property & Casualty 8/20/2016

BARCLAY LORRAINE 3151 STILLHOUSE CREEK DR SE UNIT 23301 ATLANTA GA 30339-3549

6789045928 [email protected] N 100107471 Health Services,Life 10/13/2016

BAKER JERRY 1256 MAIN ST STE 249 SOUTHLAKE TX 76092

8174550096 [email protected] N 100107147 Life,Health Services 8/20/2016

Ballester Tio Tomas PO Box 364804 San Juan PR 00936 7874097686 [email protected] Y 14091 Property & Casualty,Disability,Title

12/31/2016

BARRERA ALFREDO PO BOX 1388 HOUSTON TX 77251 7133461251 [email protected] N 100109140 Property & Casualty 6/19/2017

BASULTO ELISAASSURANT SPECIALTY PROPERTY 11222 QUAIL ROOST DR MIAMI FL 33157-6543

8008522244 [email protected] N 100108515 Property & Casualty 3/23/2017

BENCHICH MATTHEW 2264 S MARION ST DENVER CO 80210-4539

3033793346 [email protected] N 100106468 Health Services,Life 5/21/2016

BARRETT WILLIAM AETNA 7400 W CAMPUS RD NEW ALBANY OH 43054-8725

6149338099 [email protected] N 100107360 Life,Health Services,Disability 9/22/2016

BARTLETT NELLY 16923 SE 38TH PLACE BELLEVUE WA 98008

3125190100 [email protected] N 100107420 Health Services,Life 9/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 3 of 28

BORCICH MICHAEL 2750 MCALLISTER STREET 205 SAN FRANCISCO CA 94118

6503690200 [email protected] N 100108795 Property & Casualty 4/29/2017

Book Michael 530 Fifth Avenue Floor 14 New York NY 10036

2125367713 [email protected] N 65165 Life,Health Services,Disability,Variables

6/30/2017

BOONE PATRICK 7306 S SPARKMAN ST TAMPA FL 33616 8132891000 [email protected] N 100109004 Life,Variables,Health Services 6/3/2017

BORCHERS TERRY 1013 GALLERIA BOULEVARD SUITE 250 ROSEVILLE CA 95678

9165801809 [email protected] N 100107042 Property & Casualty 8/6/2016

BONNEY DARIEN P O BOX 51798 MESA AZ 85208 4805382915 [email protected] N 100107659 Life,Health Services 10/30/2016

BIALIK MICHAEL 29552 LOS OSOS LAGUNA NIGUEL CA 92677

9496971445 [email protected] N 100107319 Life,Health Services 9/16/2016

Bixler Killian Ralph 1606 Ponce De Leon Suite 402 San Juan PR 00909

7877258585 Y 14002 Disability,Life,Property & Casualty

10/31/2016

BESSELMAN THOMASGALLAGHER BENEFIT SERVICES, INC. 6421 PERKINS ROAD BUILDING A, SUITE 2B BATON ROUGE LA 70808

2257670334 [email protected] N 100107104 Health Services,Life 8/13/2016

Betancourt Rivera BenjaminUrb. Parque Montebello E-10 Calle 2 Trujillo Alto PR 00976 7877486898 [email protected] Y 1346

Title,Health Services,Life,Disability,Property & Casualty

5/31/2016

Black Kristine PO Box 452 Boca FL 33429 5618662592 [email protected] N 100102623 Variables,Life 11/15/2016

Blay Caballero Jorge PO Box 11016 San Juan PR 00922 7877815842 [email protected] Y 4817 Property & Casualty,Life,Disability,Title

10/31/2016

BODNAREK CLAYTONESECURITEL AGENCY LLC 2325 LAKEVIEW PKWY STE 700 ALPHARETTA GA 30009-7921

[email protected] N 100109396 Property & Casualty 7/27/2017

BLAIR CURTIS THE BLAIR GROUP, LLC 4413 71ST ST STE G100 LUBBOCK TX 79424-2319

8067714300 [email protected] N 100106553 Health Services,Life 6/3/2016

Blanco Maldonado Carmen PO BOX 79645 CAROLINA PR 00984-9645

7876894751 [email protected] Y 4683 Property & Casualty 9/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 4 of 28

CABAN MONICA 7014 CARNWARTH LN FORT MILL SC 29707

7046971322 [email protected] N 100107875 Life 12/12/2016

BUTT RONALD190 CANDELERO DRIVE APT. 154 CRESCENT BEACH BUILDING 2 HUMACAO PR 00791

5027530609 [email protected] Y 100109018Disability,Life,Variables,Health Services 6/30/2017

Buxo Perez Carlos PO Box 3945 Guaynabo PR 00970 7877178752 [email protected] Y 13097 Property & Casualty,Health Services,Life,Disability

11/30/2016

Caballer Diaz Christian PO Box 363283 San Juan PR 00936 7874390530 [email protected] Y 55851 Property & Casualty 10/31/2016

BROST EMIL ADVISORS EXCEL 2950 SW MCCLURE RD TOPEKA KS 66614-4120

7852711445 [email protected] N 100106048 Life 3/31/2016

BROWN COURTNEY 7205 HOMESTEAD PL SPRINGFIELD VA 22151-3301

7035313530 [email protected] N 100107084 Life 8/11/2016

Bren Andrew 5245 Shilshole Ave. NW Seattle WA 98107

2066071879 [email protected]

N 100102031 Property & Casualty 6/30/2016

BOUCHER SANDRA 2100 OLD FOREST DR HILLSBOROUGH NC 27278

8005553979 [email protected] N 100106735 Property & Casualty 6/27/2016

BRADEN TERRESA PO BOX 217 OOLOGAH OK 74053-0217 9186244767 [email protected] N 100109395 Health Services,Life 7/27/2017

Burgos Arce JorgeUrb. Floral Park 55 Gautier Benitez San Juan PR 00917 7876354119 Y 29083

Disability,Health Services,Life,Property & Casualty

7/31/2016

Burt Russell 51 Hilltop Avenue Blackwood NJ 8012 8569791008 [email protected] N 48951 Disability,Life,Health Services 6/30/2016

BUCKHEISTER KENNETH 5508 STONOVIEW DRIVE JOHNS ISLAND SC 29455

8432841052 [email protected] N 100106937 Health Services,Property & Casualty,Life

7/22/2016

BRUNO JEFFREY 108 MOUNTAIN AVE SOMERVILLE NJ 08876-1406

9734908505 [email protected] N 100109686 Property & Casualty 9/4/2017

Bruno Juan 13790 NW 4 Street Suite 110 Sunrise FL 33325

9543451215 [email protected] N 52329 Variables,Life,Health Services 6/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 5 of 28

Casellas Sastre Miguel Urb. Torrimar 13-28 Calle Toledo Guaynabo PR 00966

7874034700 [email protected] Y 9192 Property & Casualty,Health Services,Disability

9/30/2016

Casellas Sastre Patricia PO Box 10037 San Juan PR 00922-0037 7873790477 [email protected] Y 12084 Property & Casualty,Disability,Life,Title

3/31/2016

Casiano Labrador Ana Cond. Palmar Del Rio Box 352 Guaynabo PR 00969

7875962626 [email protected] Y 11871 Property & Casualty,Disability,Life

5/31/2016

Cappas Vazquez Edward Coco Beach 136 Bahia Rio Grande PR 00745

7876575495 [email protected] Y 11190 Life,Property & Casualty,Disability

5/31/2016

CARBONE PETER 9 COPPERDALE LANE HUNTINGTON NY 11743

5163332340 [email protected] N 100107145 Property & Casualty 8/20/2016

Cacho Corretjer Delio Urb. Parque Central 520 Sergio Cuevas - Apt. 1 San Juan PR 00918

7877667690 Y 4920 Property & Casualty,Title 5/31/2017

CANAPARO CARL1330 NORTH BROADWAY 204 WALNUT CREEK CA 94596 9259528680 [email protected] N 100108579

Life,Malpractice,Marine and Transportation,Disability,Vehicle,Property & Casualty,Health Services

4/1/2017

CARDIELLO-LEWIS MELISSA 174 SUPERIOR AVE NEWINGTON CT 6111

8603068160 [email protected] N 100107532 Life,Health Services 10/21/2016

Casanova Castro IngridINGRID M. CASANOVA CASTRO 561 CALLE ENSENADA SAN JUAN PR 00907-2428

7874868750 [email protected] Y 9358 Life,Property & Casualty,Title 10/31/2016

CASAREZ ACIDALIA 1814 MARYDALE DR DALLAS TX 75208-3031

4132059127 [email protected] N 100108213 Life,Health Services 2/11/2017

Carmona Hernandez Julia PO Box 79647 Carolina PR 00984 7877271446 [email protected] Y 2014 Title,Disability,Property & Casualty

11/30/2016

CARTER LAURA 6363 COLLEGE BLVD SUITE 500 OVERLAND PARK KS 66211

9136421666 [email protected] N 100109710 Life,Health Services 9/8/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 6 of 28

Comas Ferrer Stanley Park Boulevard 2166 General Patton San Juan PR 00913

7877288898 [email protected] Y 6761 Disability,Life,Property & Casualty

3/31/2016

COLLINS JOHN 400 5TH AVE SUITE 600 WALTHAM MA 2451

7815474139 [email protected] N 100106791 Health Services,Life,Disability 7/8/2016

Colon Badillo Hiram Cond. Doral Plaza Apt.7M Guaynabo PR 00966

7876140909 [email protected] Y 50454 Property & Casualty 11/30/2016

COLLETT CHARLES 6076 LAUREL WREATH WAY COLUMBIA MD 21044

4104019491 [email protected] N 100107732 Disability,Health Services,Life 11/14/2016

CHERNIAWSKI MICHAEL 8856 FAWN RIDGE DR FT MYERS FL 33912

2392012717 [email protected] N 100109158 Health Services,Life,Variables 6/23/2017

CHIANA YVONNE 9888 BISSONNET ST SUITE 246 HOUSTON TX 77036

7138598161 [email protected] N 100109625 Life,Health Services 8/31/2017

CASTRO ROBERTOCASTRO-DIEPPA LLC 28 BROADWAY STE 206 KISSIMMEE FL 34741-5748 4079001524 [email protected] N 56975

Life,Title,Vehicle,Disability,Fraternal Life,Marine and Transportation,Malpractice,Reinsurance,Agricultural,Property & Casualty,Health Services,Variables

5/7/2016

Cestero Lopategui Rafael PO Box 193468 San Juan PR 00919-3468 9399697676 [email protected] Y 10702 Disability,Life,Property & Casualty,Health Services

2/29/2016

CollCamalez Diaz Santiago268 Ave. Ponce de Leon Suite 1014 San Juan PR 00918 7876444813 [email protected] Y 8709

Health Services,Life,Property & Casualty,Variables,Title,Disability

3/31/2017

COLLEARY JAMES 115 WEST CENTURY ROAD SUITE PARAMUS NJ 7652

2014760029 [email protected] N 100109513 Health Services,Life,Variables 8/11/2017

CLARK RICHARDHUB INTERNATIONAL NW LLC 12100 NE 195TH ST STE 200 BOTHELL WA 98011-5768

4254894500 [email protected] N 100109425Life,Property & Casualty,Health Services 7/30/2017

Colberg Guerra Natalia Parque Forestal A-3 San Juan PR 00926 7874667392 [email protected] Y 11324 Life,Health Services,Disability 8/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 7 of 28

Cruz Ruiz Jose Urb. Munoz Rivera 9 Brisaida Guaynabo PR 00969

7877899293 [email protected] Y 58144 Property & Casualty 5/31/2016

CRAWFORD TYLER 122 EAST 42ND STREET STE. 720 NEW YORK NY 10168

8009279800 [email protected] N 100109368 Property & Casualty 7/22/2017

Cruz Alverio JoseVilla Carmen O-14 Ave Luis Munoz Marin Caguas PR 00725 7876381585 [email protected] Y 1434

Life,Health Services,Disability,Property & Casualty

5/31/2016

Cruz Martino Sonia PO BOX 363734 SAN JUAN PR 00936-3734

7873096950 [email protected] Y 374 Disability,Life 12/31/2015

COX THOMAS 9401 INDIAN CREEK PKWY STE 1300 OVERLAND PARK KS 66210-2021

9132025182 [email protected] N 100106597 Health Services,Life 6/10/2016

Cornish Thomas 1000 CORPORATE DR STE 400 FT LAUDERDALE FL 33334-3628

9549388788 [email protected] N 100100493 Property & Casualty 3/19/2016

CORRAL JOSE 515 S FLOWER ST STE 505 LOS ANGELES CA 90071-2270

7143305526 [email protected] N 100105863 Life,Health Services 3/11/2016

Cordero Acevedo Celso PO Box 362189 San Juan PR 00936 7872505350 [email protected] Y 11159 Life,Property & Casualty,Disability

6/30/2016

CONRY-OLCZAK CARLEANE PO BOX 27495 TAMPA FL 33623 8132891000 [email protected] N 100109005 Life,Variables,Health Services 6/3/2017

COOPER ROBERT 13219 NW 8 STREET MIAMI FL 33182 4048287662 [email protected] N 100109474 Property & Casualty 8/6/2017

Costanza Peter 3206 Wessex Circle Richardson TX 75082 9729916084 [email protected] N 52649 Property & Casualty 6/30/2016

Couto Octaviani Milagros Po Box 859 Catano PR 00963 7876676728 [email protected] Y 13306 Property & Casualty 10/31/2016

Costa Ramos Joaquin Mansiones Reales A-2 Calle Principe de Asturias Guaynabo PR 00969

7873420566 [email protected] Y 56511 Property & Casualty 5/31/2016

Correa Oliveras Jorge PO Box 366295 San Juan PR 00936 7872877732 [email protected] Y 3539 Disability,Property & Casualty,Life,Title

8/31/2016

COSSIO ALEXANDER PO BOX 1304 FOUNTAIN INN SC 29644 8646880121 [email protected] N 100106533 Life,Casualty,Property,Health Services

5/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 8 of 28

Del Valle Cuadrado Gregorio HC-1 Box 17613 Humacao PR 00791 7877331703 [email protected] Y 9827 Life,Disability,Property & Casualty

3/31/2016

DEGREGORIO ERIK 24 STILES RD STE 201B SALEM NH 03079-2878

6038933563 [email protected] N 100108189 Variables,Health Services,Life 2/5/2017

Del Pueblo Juan Oficina del Comisionado de Seguros Guaynabo PR 00968

7873042100 [email protected] Y 100103871 Fraternal Life 10/31/2015

Del Valle Cestero Rafael Cond. Villas del Mar Oeste Apt. 4-D 4735 Ave. Isla Verde Carolina PR 00979

7877050707 [email protected] Y 2510 Disability,Title,Life,Property & Casualty

6/30/2016

CUTY BRENDA3221 FLOWER REEF CIRCLE LEAGUE CITY TX 77573 2812365792 [email protected] N 100108298

Life,Agricultural,Reinsurance,Malpractice,Marine and Transportation,Fraternal Life,Disability,Vehicle,Title,Property & Casualty,Health Services

2/23/2017

DANIELS DEANNA 379 JAMESTOWN MANOR DR GARDENDALE AL 35071-4673

2053823074 [email protected] N 100109031 Health Services,Life 6/8/2017

Cuevas Umpierre Palmira Po. Box 365004 San Juan PR 00936 7877483195 [email protected] Y 12052 Property & Casualty,Disability 2/29/2016

Curet Martin Victor Cesar Gonzalez 475 Hato Rey PR 00918 7877514621 [email protected] Y 11572 Property & Casualty,Disability,Title

3/31/2016

Davidson John334 OAK BLUFF AVE STRATFORD CT 06615-7764 2038543420 [email protected] N 100100326

Life,Health Services,Disability,Property & Casualty

2/29/2016

De Jesus Diaz Juan Cond La Villa Garden Apts Apto 1104-AE Guaynabo PR 00970

7877830324 [email protected] Y 3086 Disability,Property & Casualty,Title

4/30/2017

De la Torre Lugo Francisco PO Box 360631 San Juan PR 00936 7877844617 [email protected] Y 53518 Property & Casualty 12/31/2016

DAYLEY BARRY 247 JEFFERSON P.O. BOX 526 AFTON WY 83110

5614722000 [email protected] N 100105816 Life,Variables,Health Services,Disability

3/4/2016

De Diego De Angers Raquel 1 CALLE TAFT APT 2A SAN JUAN PR 00911-1204

7877288903 Y 11074 Property & Casualty,Life,Disability,Title

7/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 9 of 28

Falcon Lugo Eddie PO Box 914 Saint Just PR 00978 7877723577 [email protected] Y 8885 Property & Casualty,Title,Disability

3/31/2017

EVANS CHRISTOPHER 7264 E STARLA DR SCOTTSDALE AZ 85255-3493

8005225555 [email protected] N 100107901 Variables,Life 12/16/2016

EVANS ROBERT WKA FINANCIAL, LLC 135 S MAIN ST STE 900 GREENVILLE SC 29601-2782

8642415464 [email protected] N 100108020 Variables,Disability,Life 1/7/2017

Fakouri Anthony Arkansas Insurance Agency, Inc 11501 Huron Lane Suite 3 Little Rock AR 72211

5016043057 [email protected] N 100103296 Life,Variables,Disability,Health Services

3/19/2017

Escudero Maymi Raul Apartado 9021250 San Juan PR 00902 7872494220 [email protected] Y 8019 Title,Disability,Property & Casualty

5/31/2016

DILLARD STEPHEN POST OFFICE BOX 1894 SUMTER SC 29151-0000

8034996623 [email protected] N 100108293 Life,Health Services 2/23/2017

DINARDI PETER 1 SUZANNE LANE PLEASANTVILLE NY 10570

9147411271 [email protected] N 100107015 Life 7/31/2016

Diaz Gallego Edwin PO Box 193909 San Juan PR 00919-3909 7877541780 Y 1146 Malpractice,Disability,Life,Property & Casualty

11/30/2016

Del Valle Ortiz Blanca PO BOX 9023340 SAN JUAN PR 00902-3340

7873792114 Y 11121 Life,Disability,Title,Property & Casualty

6/30/2016

Diaz Alicea Reinaldo PO Box 2209 Bayamon PR 00960-2209 7877634776 [email protected] Y 57178 Property & Casualty 1/31/2017

EAGAN JAY 6010 82ND ST STE 100 LUBBOCK TX 79424-0822

8067918504 [email protected] N 100108126 Life,Variables,Health Services 1/30/2017

Emanuelli Belaval Eduardo Urb. Golden Gate 27 Calle Diamante Guaynabo PR 00968

7877836743 [email protected] Y 7872 Life,Property & Casualty 4/30/2017

DUNLAP BRITTANY 2616 PARK ROAD UNIT F CHARLOTTE NC 28209

7049712300 [email protected] N 100107874 Life 12/12/2016

DIPHILIPPO SAMUEL 36 PROSPECT BAY DR W GRASONVILLE MD 21638

4104019526 [email protected] N 100106006 Life,Health Services 3/24/2016

DUBOIS GARY 14 CASALE DRIVE WARREN NJ 7059 6469239920 [email protected] N 100109587 Property & Casualty 8/25/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 10 of 28

Gaitan Gonzalez Hector 270 Munoz Rivera 2do piso San Juan PR 00918

7877931490 [email protected] Y 2686 Life,Disability 6/30/2016

Gallaudet James 4022 NW 72 Ave. Coral Springs FL 33065 9549034298 [email protected] N 64173 Property & Casualty 7/8/2017

GAMACHE WARREN 415 CIDER MILL ROAD MOUNT SIDNEY VA 24467

8004627441 [email protected] N 100109466 Life 8/5/2017

Franco Ramos Wanda PO BOX 30627 SAN JUAN PR 00929-1627

7875987275 [email protected] Y 6359 Disability,Property & Casualty,Health Services,Life

2/29/2016

FUCCI ERIC 37 PINE STREET SAYVILLE NY 11782 6312189700 [email protected] N 100108161 Property & Casualty 2/3/2017

FUCHS SUSANNE 2 LONE OAK AVE WOLCOTT CT 06716-1519

8605804077 [email protected] N 100107476 Health Services,Life,Variables 10/14/2016

FERNANDEZ PABLO 1200 BRICKELL AVE STE 1270 MIAMI FL 33131-3212

4049261373 [email protected] N 100106152 Life 4/15/2016

FIELD PETER 6053 YEATS MANOR DR TAMPA FL 33616-1303

8132075582 [email protected] N 100106589 Life,Health Services 6/10/2016

Fernandez Delgado Maria P.O. Box 9023793 San Juan PR 00902 7877220008 [email protected] Y 10715 Property & Casualty 11/30/2016

FEILER WILLIAM N8294 850TH ST RIVER FALLS WI 54022-4231

6517021823 [email protected] N 100109572 Health Services,Life,Variables 8/21/2017

Fernandez Barreto Pedro PO Box 1397 Saint Just PR 00978 7875366273 [email protected] Y 12246 Disability,Life,Property & Casualty,Title

6/30/2016

FOURNIER RAYMOND P O BOX 11477 CHARLOTTE AMALIE VI 00801

3407768050 [email protected] N 100106572 Property & Casualty 6/5/2016

FOXX ANGELA 5550 BLAZER PARKWAY SUITE 150 DUBLIN OH 43017

6143564310 [email protected] N 100106999 Health Services,Life 7/30/2016

Fontanez Villafane Ramon PO Box 2239 Bayamon PR 00960 7877870969 Y 12771 Title,Property & Casualty,Disability,Life

12/31/2016

Flamand Lopez Jorge PO Box 10220 Santurce Sta. San Juan PR 00908

7876416580 [email protected] Y 4356 Property & Casualty 2/28/2017

Fonseca Bronzy Angela 869 Vance Circle NE Palm Bay FL 32905 3216104814 [email protected] N 100100671 Property & Casualty 4/9/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 11 of 28

Gonzalez Hernandez HectorParque Ecuestre G-59 Calle Dulce Sueno Carolina PR 00987 7877689197 [email protected] Y 2623

Disability,Life,Health Services,Title,Property & Casualty

9/30/2016

Gonzalez Mendoza Daniel PO Box 2081 Caguas PR 00726-1614 7874601614 [email protected] Y 9933 Health Services,Property & Casualty,Life,Disability

10/31/2016

GORDON SYLVIA 20236 HAGUE RD NOBLESVILLE IN 46062-9540

3177766770 [email protected] N 100107465 Life,Health Services 10/9/2016

GONZALEZ DE LEON FERNANDO PO BOX 1733 RIO GRANDE PR 00745 7876402533 [email protected] Y 16528 Property & Casualty 1/31/2016

Garcia Rullan Manuel PO Box 9024266 San Juan PR 00902-4266

7877893060 [email protected] Y 12566 Property & Casualty 3/31/2017

GARZA ANA 5005 FAUNTLEROY SW SEATTLE WA 98136

8887387478 [email protected] N 100108828 Property & Casualty 5/4/2017

GARCIA LAZARO 12820 TROTTER BLVD DAVIE FL 33330 8604091437 [email protected] N 100108042 Variables,Health Services,Life 1/15/2017

Gandia Morales Jose PO BOX 2468 Bayamon PR 00960 7877305529 [email protected] Y 6495 Disability,Property & Casualty,Life

8/31/2016

Garcia Gonzalez Manuel PO Box 9024266 Guaynabo PR 00902 7877200090 [email protected] Y 8976 Disability,Property & Casualty,Life

2/29/2016

GONZALEZ COLON ROBERTO PO BOX 2022 AIBONITO PR 00705 7873283535 [email protected] Y 11980 Property & Casualty,Marine and Transportation

5/31/2016

GONZALEZ DE LA ROSA BERNICE PO BOX 790 CIDRA PR 00739 7879816087 [email protected] Y 100103997Surety,Marine and Transportation,Property & Casualty,Malpractice

4/30/2017

Gomez Fas Luis PO Box 3450 Mayaguez PR 00681-3450 7878340000 [email protected] Y 35155 Property & Casualty 7/31/2016

GILTNER JAMES 534 GHENTWOOD DR. AKRON OH 44333

2165202160 [email protected] N 100107440 Life 10/6/2016

GOLDSTON JESSICA 91 HOMESTEAD ST MANCHESTER CT 6042

8606435022 [email protected] N 100108026 Health Services,Life 1/12/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 12 of 28

HOELTKE LANCE 12532 RIDGEMOOR DR PROSPECT KY 40059

5022286283 [email protected] N 100107513 Life,Health Services 10/17/2016

HENRY THERESA 330 AVENIDA SANTA MARGARITA SAN CLEMENTE CA 92672

7149786300 [email protected] N 100109015 Health Services,Life 6/4/2017

Hernandez Castro Lynda PO Box 6544 San Juan PR 00914 7877261666 [email protected] Y 22993 Property & Casualty,Life,Disability

1/31/2016

HERNANDEZ PATRICIA 2845 SILVER SPRINGS CT. YORKVILLE IL 60560

3122440141 [email protected] N 100108827 Life 5/4/2017

Guerrero Suarez MariaCondominio Palmar del Rio 1 18 Avda. Arbolote Apt. 315 Guaynabo PR 00969-5512

7872109965 [email protected] Y 422Title,Disability,Property & Casualty 2/28/2017

Guillemard Noble Jaime 701 AV PNCE DE LEON STE 313 SAN JUAN PR 00907-3256

7875026576 [email protected] Y 56133 Life,Property & Casualty 8/31/2016

GRAHAM MATTHEW 2028 WESTRIDGE DRIVE CLEARWATER FL 33763

7272160859 [email protected] N 100105702 Disability,Life,Health Services 2/19/2016

GROSS STEPHEN 3330 CUMBERLAND BLVD. SUITE 900 ATLANTA GA 30339

7703354705 [email protected] N 100108864 Life,Health Services 5/7/2017

GUIMARAES TIAGO416 S. ROSEMEAD AVE SUITE B PASADENA CA 91107 9099520640 [email protected] N 100101264

Property & Casualty,Vehicle,Fraternal Life,Life,Health Services

6/30/2016

HAYS JEFFREY 40 PRINZ CT CHESHIRE CT 06410-2972 6174192604 [email protected] N 100108036 Property & Casualty 1/13/2017

HENDON JAMES 1741 CAMDEN AVE APT 5 LOS ANGELES CA 90025-4498

8669001957 [email protected] N 100108977 Life,Property & Casualty,Health Services

5/28/2017

HARRIS JOHN 8213 CHANCERY CT ALEXANDRIA VA 22308-1514

8003683484 [email protected] N 100107083 Life 8/11/2016

HASTON JOSEPH 4715 BONNY OAKS DR APT 906 CHATTANOOGA TN 37416-3841

4232947631 [email protected] N 100109467 Life,Health Services 8/5/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 13 of 28

KEPESKY MICHAEL 69 TALAIS DR LITTLE ROCK AR 72223 8604091437 [email protected] N 100108367 Variables,Health Services,Life 3/3/2017

KAMARA FESTUS ZANDER INSURANCE 6213 CHARLOTTE PIKE NASHVILLE TN 37209-3038

6153561700 [email protected] N 100108457 Life 3/13/2017

Kavo Heide 4560 Island Reef Drive Wellington FL 33449

8775330118 N 62450 Variables,Life 1/9/2016

KELLETT ADA 44 MINISTERIAL BR BEDFORD NH 03110-5724

8776944015 [email protected] N 100108245 Variables,Life 2/17/2017

Juarbe Berrios Luis PO Box 13756 San Juan PR 00908 7876418139 [email protected] Y 5650Malpractice,Title,Property & Casualty,Disability,Health Services,Life

8/31/2016

Jimenez Castro Cesar PO BOX 9037 Bayamon PR 00960-9037 7877316574 [email protected] Y 13873 Life,Disability,Property & Casualty

8/31/2016

Jimenez Garcia Manuel PO Box 396 Arecibo PR 00613 7878782215 [email protected] Y 1945Disability,Health Services,Title,Property & Casualty,Life

8/31/2016

IGLESIAS FULBRIGHT HECTORWALDORF TOWERS APT 1402 CAROLINA PR 00979 7874742099 [email protected] Y 100103831

Marine and Transportation,Property & Casualty,Agricultural,Life,Surety

2/28/2017

JEFFREYS CAMERON 13309 STAGG HILL DRIVE CARMEL IN 46033

3177130812 [email protected] N 100109665 Life,Variables 9/2/2017

JOHNSON CRAIG 12567 EAGLES NEST DR BOKEELIA FL 33922-3315

2622068777 [email protected] N 100109159 Property & Casualty 6/23/2017

Jorge Oquendo Miriam P. O. Box 8617 Ponce PR 00732 7878417434 [email protected] Y 40121 Disability,Health Services 9/30/2016

JOSEPH PETER 5740 SW 116TH STREET CORAL GABLES FL 33156

9548025951 [email protected] N 100107843 Life,Health Services 12/9/2016

JOHNSON KIMBERLY 355 S BROADWAY #801 LEXINGTON KY 40508

6147630090 [email protected] N 100107162 Health Services,Variables,Life,Disability

8/25/2016

JOHNSON MICHAEL 11915 263RD AVENUE SE MONROE WA 98272

2068163302 [email protected] N 100106467 Property & Casualty 5/21/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 14 of 28

LEONG KIT Paseo del Prado Calle Campina 90 Carolina PR 00909

9175721024 [email protected] Y 100107035 Life,Health Services 8/5/2016

Lectora Soto Pablo PO Box 8617 Ponce PR 00732 7873747434 [email protected] Y 8236Property & Casualty,Disability,Health Services,Life

2/28/2017

LEE DAVID 19718 MABEL PL CASTRO VALLEY CA 94546

6502438407 [email protected] N 100109473 Casualty 8/6/2017

Lema Fabian 1600 Aspen Commons Ste. 600 Middleton WI 53562

8668366162 [email protected] N 100101290 Life,Health Services 6/30/2016

KNOWLTON JOHN 6677 BELGIAN KALAMAZOO MI 49009 2695321901 [email protected] N 100107315 Variables,Health Services,Life 9/16/2016

KRUPA COLETTA 7161 RIVER STYX ROAD MEDINA OH 44256

3306598419 [email protected] N 100106557 Life,Health Services 6/4/2016

Kleis Pasarell Gerald PO Box 9024216 San Juan PR 00902 7877227241 [email protected] Y 6006Property & Casualty,Disability,Life,Title,Variables

6/30/2016

KIRWAN JACQUELINE 108 E 38TH STREET APT 607 NEW YORK NY 10016

2124570535 [email protected] N 100106598 Life,Health Services 6/10/2016

KITCH MONSERRAT 14805 N 73RD ST SCOTTSDALE AZ 85260-3107

4803462000 [email protected] N 100108969 Health Services,Life 5/28/2017

Lebron Olivero Manuel Cond. Parque de las Fuentes 690 Cesar Gonzalez Apt. 303 San Juan PR 00918

7877638085 [email protected] Y 10732 Property & Casualty 2/29/2016

Lectora Larrauri Paul PMB 148 - Suite 67 35 J.C. de Borbon Guaynabo PR 00969

7873997499 [email protected] Y 8318 Disability,Life,Property & Casualty

8/31/2016

LAWRENCE YANIQUE 1302 WAUGH DR NO 412 HOUSTON TX 77019

7047085461 [email protected] N 100107426 Life,Variables,Health Services 10/1/2016

LASH LISA PARCEL INSURANCE PLAN PO BOX 66708 SAINT LOUIS MO 63166

3148729610 [email protected] N 100108854 Property & Casualty 5/6/2017

Latimer Feliciano Thomas PO Box 6544 San Juan PR 00914 7877261666 [email protected] Y 12905 Life,Property & Casualty,Disability,Title

1/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 15 of 28

Lugo Salls Maria Plaza Antilana 2-1701 151 Ave Cesar Gonzalez San Juan PR 00918

7876409680 [email protected] Y 17297 Disability,Health Services,Life 1/31/2017

LUDY JEFFREY2021 NORTH LEMANS BLVD 1408 TAMPA FL 33607 7277934872 [email protected] N 100107549

Disability,Health Services,Life,Reinsurance,Fraternal Life,Malpractice

10/22/2016

LOTVIN NANCI 16 FOX LANE DIX HILLS NY 11746 4072541500 [email protected] N 100108908 Life,Variables,Health Services 5/15/2017

LOYS RAUL 11141 SW 71ST AVE MIAMI FL 33156-3945

3056629181 [email protected] N 100106007 Health Services,Life,Disability 3/24/2016

Lopez Villafane Andres PO Box 40848 Minillas Station San Juan PR 00940

7877255855 Y 11287 Title,Property & Casualty,Disability,Life

9/30/2016

LLANES BELKYS 4115 W SWANN AVE TAMPA FL 33609-4328

8132891000 [email protected] N 100102683 Life,Health Services,Variables 4/23/2017

LOFTIS JOSHUACOBB STRECKER DUNPHY & ZIMMERMANN, INC. 150 S 5TH ST STE 2800 MINNEAPOLIS MN 55402-4239

6123492400 [email protected] N 100108156 Property & Casualty 2/3/2017

LEVENSAILOR BRITNI 690 PLUM DR BURLESON TX 76028-8433

8474312863 [email protected] N 100109181 Life 6/25/2017

LEWIS CHARLIE 515 NORTH BROAD STREET THOMASVILLE GA 31792-4424

2292263277 [email protected] N 100107419 Life,Health Services 9/30/2016

LOPEZ JESSICAC/O BROKERS ALLIANCE, INC. 16930 E PALISADES BLVD STE 100 FOUNTAIN HILLS AZ 85268-3731

4808169000 [email protected] N 100109149 Life 6/22/2017

Lopez Luna LuisVilla Caparra Calle J 21 Guaynabo PR 00966 7872737070 [email protected] Y 10604

Health Services,Disability,Title,Life,Property & Casualty

7/31/2016

Lopez del Castillo Franco Enrique44 Juan C. Borbon Street Guaynabo PR 00969 [email protected] Y 59047

Property & Casualty,Disability,Health Services,Life

3/31/2016

Lopez Gil Enrique PMB 149 Ave Esmeralda 405 Suite 2 Guaynabo PR 00969-4427

7876088406 [email protected] Y 17576 Property & Casualty 10/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 16 of 28

Matos Melendez Desiree Urb. Monte Brisas AA-15 Calle 1 Fajardo PR 00738

7873075608 [email protected] Y 29412 Property & Casualty 7/31/2016

Marroni Mark 138 River Road Suite 310 Andover MA 1810

9786896930 [email protected] N 100100448 Health Services,Life,Variables 3/15/2016

Martinez Angel Carmen PO Box 16025 San Juan PR 00908 7873547770 [email protected] Y 6145 Health Services,Property & Casualty,Disability,Life

5/31/2016

Martinez Melendez Margie Bairoa Golden Gate I Calle BB #4 Caguas PR 00725

7875947532 [email protected] Y 1974 Life,Property & Casualty,Health Services,Disability

4/30/2016

LYONS MAURICE 985 FIFTH AVENUE NEW YORK NY 10075

6466160982 [email protected] N 100107001 Health Services,Disability,Life 7/30/2016

Maceira Andujar Evelyn Ciudad Centro 25 Orocovix Carolina PR 00987

7874571010 [email protected] Y 36668 Disability,Health Services,Life 11/30/2015

Lugo Salls Maria Plaza Antillana Apt 2-1701 151 Cesar Gonzalez San Juan PR 00918

7876409680 Y 17297 Disability,Health Services,Life 1/31/2017

Lugo Salls Maria Plaza Antillana Apt 2-1701 151 Cesar Gonzalez San Juan PR 00918

7876200585 Y 17297 Disability,Health Services,Life 1/31/2017

Lugo Salls Maria Plaza Antilana 2-1701 151 Ave Cesar Gonzalez San Juan PR 00918

7876200585 [email protected] Y 17297 Disability,Health Services,Life 1/31/2017

Marin Pagan Rafael Mansion Norte ND-5 Camino de Villena Toa Baja PR 00949

7875876827 [email protected] Y 51820 Property & Casualty 9/30/2016

MARINO MICHAEL AMERICAN GLOBAL 1450 BRICKELL AVE STE 1400 MIAMI FL 33131-3449

3053519151 [email protected] N 100107107 Property & Casualty 8/14/2016

MARCANO RAUL 1662 SW 132 WAY DAVIE FL 33325 9543751536 [email protected] N 100106514 Life,Health Services 5/29/2016

Maldonado Reyes Geronimo Capitolio Plaza Calle del Muelle 100 San Juan PR 00901

7873474676 [email protected] Y 9351 Property & Casualty,Health Services,Life,Disability

9/30/2016

MALOY MICHAELMCGINTY GORDON AND ASSOCIATES 225 MARINA DRIVE SAINT SIMONS IS GA 31522

[email protected]

m N 100107473 Health Services,Life 10/14/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 17 of 28

Molina Robles Yajaira PO Box 362483 San Juan PR 00936 7875314042 [email protected] Y 546 Title,Property & Casualty,Disability

9/30/2016

Montes Ferrando Lazaro PO Box 362445 San Juan PR 00936-2445 7876744510 [email protected] Y 591 Disability,Property & Casualty,Health Services

12/31/2015

MILLER MATTHEW 130 BUSH STREET 6TH FLOOR SAN FRANCISCO CA 94104

4158598717 [email protected] N 100109668 Casualty,Property 9/3/2017

MITCHELL HOLLY 1920 HOUSTON RD PROSPERITY SC 29127

8034057260 [email protected] N 100109570 Property & Casualty 8/21/2017

MITCHELL KEVIN 100 GALLERIA PARKWAY SUITE 1050 ATLANTA GA 30339

7702219990 [email protected] N 100109141 Life 6/19/2017

MCGRATTY BRIAN 645 SAINT DUNSTAN WAY WINTER PARK FL 32792

4076919864 [email protected] N 100106389 Life,Health Services 5/13/2016

McNulty Michael 277 Park Ave. New York NY 10172 2125538033 [email protected] N 100101564 Life,Health Services,Disability 6/30/2016

MCDONOUGH JAMES 8921 CANYON FALLS BLVD. TWINSBURG OH 44087

3304864875 [email protected] N 100109345 Health Services 7/15/2017

MC CASLIN JEREMYCALEDONIAN INSURANCE GROUP, INC. PO BOX 60 MERCER ISLAND WA 98040-0060

2062329870 [email protected] N 100105869 Property & Casualty 3/12/2016

MCCANN JOHN 1550 VILLAGE SQUARE BLVD STE 1 TALLAHASSEE FL 32309-2773

8507025364 [email protected] N 100107774 Casualty 11/25/2016

MESSORE ILISE 80 FOOTE HILL RD NORTHFORD CT 06472-1367

8606591323 [email protected] N 100108603 Life,Health Services 4/9/2017

Milan Amadeo Ricardo Santa Maria Trinitaria #93 San Juan PR 00926

7877544406 [email protected] Y 6557 Disability,Title,Property & Casualty

1/31/2016

MERRICK BRETT 10008 91ST NE ARLINGTON WA 98223 2066953124 [email protected] N 100107361 Disability,Life 9/22/2016

Mediavilla Ostolaza Orlando Urb. Parque de Torrimar Calle 5 G-7 Bayamon PR 00959

Y 100106911 Property & Casualty 11/30/2016

Mendez Lopez Manuel Cond. Grand Atrium Piso 12 15 Rodriguez Cerra Santurce PR 00907

7876416555 Y 36942 Disability,Health Services 8/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 18 of 28

Nurre David 1148 Cheltenham Place Mainville OH 45039

5138526371 [email protected] N 56177 Life,Disability,Health Services 6/30/2016

NELSON GARY 100 LANCELOT DR FAIRFIELD CT 6824 2032548400 [email protected] N 100106396 Life,Health Services 5/13/2016

Nieves Ramos Candy PO Box 1128 San Lorenzo PR 00754 7878107780 [email protected] Y 6954 Property & Casualty,Life,Disability

5/31/2016

Novak Peter 104 ARDSLEY RD LONGMEADOW MA 01106-2504

4135392010 [email protected] N 100104395 Disability,Health Services,Life,Variables

8/16/2017

Mourino Cesar 2201 Briana Drive Brandon FL 33511 8139671328 [email protected] N 100100772 Life,Variables 4/17/2016

Moya Amelotti Carlos PO Box 190236 San Juan PR 00919 7872430352 [email protected] Y 15853 Life,Property & Casualty,Disability

3/31/2016

Moreno Roman Jose Carr # 2 km 19.0 Bo Candelaria Toa Baja PR 00956

9399699669 [email protected] Y 28609 Life,Property & Casualty,Title,Disability

3/31/2017

Morales Quintana MaritzaPMB 120 PO BOX 194000 San Juan PR 00919 7879930636 [email protected] Y 12187

Disability,Property & Casualty,Title,Life,Health Services

6/30/2017

Moreno Hereter Francisco PO Box 9021706 San Juan PR 00902 7877234161 Y 11823 Life,Disability,Property & Casualty,Title

12/31/2016

NEGRON MELISSA 6910 W WATERS AVE APT 1011 TAMPA FL 33634-2215

8132891000 [email protected] N 100109006 Health Services 6/3/2017

NEGRON RENE 10446 NW 46TH STREET DORAL FL 33178-2239

3056707626 [email protected] N 100108191 Life,Variables,Health Services 2/5/2017

Navarro Herrera Ramon 1007 Ave. Munoz Rivera Suite 1202 San Juan PR 00925

7877655035 [email protected] Y 8229 Life,Title,Disability,Property & Casualty

10/31/2016

MURTHY UMA 4647 W 103RD STE 2G OAKLAWN IL 60453

7085722323 [email protected] N 100109512 Life,Property & Casualty,Health Services

8/11/2017

NAUGHTON BRENDAN 2 GLENMOR DR NEWTOWN CT 06470-1452

2033595301 [email protected] N 100107925 Health Services,Life,Variables 12/17/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 19 of 28

Oria Gonzalez Frank PO Box 362541 San Juan PR 00936 7877554959 [email protected] Y 2365Life,Health Services,Disability,Property & Casualty

2/28/2017

OLSON ERIC 4425 FORTRAN DRIVE SUITE A SAN JOSE CA 95134

4082719500 [email protected] N 100109564 Life,Health Services 8/20/2017

ONEIL CARL 804 BLAIRMONT LANE LAKE MARY FL 32746

2023408743 [email protected] N 100109667 Health Services,Life 9/3/2017

Oquendo Rodriguez Iris Monte Verde 2128 Ruisennor St Dorado PR 00646

7873689378 [email protected] Y 100107550 Property & Casualty 1/31/2017

Olivieri Alicea Rosa PO Box 13883 San Juan PR 00908 7877234898 [email protected] Y 48416 Life,Property & Casualty 11/30/2016

O CONNOR SHARON 3 OLD OAK COURT BLOOMFIELD CT 6002

8605802613 [email protected] N 100108649 Life,Variables 4/16/2017

Oben Carreras Roberto Borinquen Gardens BB-03 Azalea St. San Juan PR 00926

7877203048 Y 2839 Property & Casualty,Disability,Title

7/31/2016

NUZZI JAMESC/O ECONOMIC PLANNING GROUP 105 MAXESS RD STE 300 MELVILLE NY 11747-3847

2018919500 [email protected] N 100106992 Life,Health Services 7/25/2016

O BRIEN PATRICK 90 SIGNAL RIDGE WAY E GREENWICH RI 2818

4018842205 [email protected] N 100109460 Health Services 8/5/2017

Oben Martino William PO Box 10927 San Juan PR 00922 7877810085 [email protected] Y 303 Disability,Title,Property & Casualty,Life

9/30/2017

OLAZAGASTI GONZALEZ MARIMER PMB 243 1353 AVE. LUIS VIGOREAUX GUAYNABO PR 00966

7875107707 [email protected] Y 100102736 Disability,Property & Casualty,Life,Health Services

9/30/2016

OLDHAM JEFFREY 100 BENEFITFOCUS WAY CHARLESTON SC 29492

8432841052 [email protected] N 100109097 Life,Health Services 6/16/2017

Ochoa Flores Antonio PO Box 192111 San Juan PR 00919 7877566352 [email protected] Y 8600 Life,Disability,Variables,Property & Casualty

11/30/2016

Ojeda Rivera Andres PO Box 4459 Carolina PR 00984 7873701003 [email protected] Y 57046 Life,Property & Casualty 10/31/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 20 of 28

Pashby Matthew 1408 Gables Ct. #1 Plano TX 75075 9729319989 [email protected] N 100101296 Disability,Life,Health Services 6/30/2016

Pagan Martinez Yazmin Parque de Monte Verde 10-2 Calle Tulip San Juan PR 00926

7874000427 [email protected] Y 16152 Disability,Health Services 11/30/2016

Pagan Rosario Pedro PO Box 190499 San Juan PR 00919-0499 7875314017 [email protected] Y 6161Health Services,Property & Casualty,Variables,Disability,Life,Title

5/31/2017

PARDUE KARA 3769 NORTH WOODRIDGE RD BIRMINGHAM AL 35223

2059991791 [email protected] N 100108464 Life,Health Services 3/16/2017

Ortiz Rodriguez Justo PO Box 364231 San Juan PR 00936-4231 7872738066 [email protected] Y 12226 Property & Casualty,Disability,Title

5/31/2016

OSLOWSKI GARY 1756 EVERGREEN LN PARK RIDGE IL 60068

3122090084 [email protected] N 100108667 Health Services,Life 4/20/2017

Ortiz Corea Reina Villa Carolina 172-18 Calle 438 Carolina PR 00985

7877212600 [email protected] Y 26177 Disability,Life 12/31/2015

Ortiz Otero Ivette HC 71 Box 6924 Cayey PR 00736 7874741010 Y 22297 Life,Property & Casualty,Disability

3/31/2017

OSTERGAARD CARL 1101 ADAMS ST APT 212 HOBOKEN NJ 07030-2224

2013528533 [email protected] N 100107922 Life,Health Services,Variables 10/8/2016

PACE AMBER 5701 N SHERIDAN RD APT 4Q CHICAGO IL 60660-4793

3129283067 N 100106734 Life,Health Services 6/26/2016

Pacheco Alcaide Jose Rio Piedras Heights 138 Salven San Juan PR 00926

7873706196 [email protected] Y 12943 Property & Casualty,Disability,Variables,Life

8/31/2016

Osuna Nunez Patricia Urb. Ciudad Univ. Calle 27 U-33 Trujillo Alto PR 00976

7876903999 [email protected] Y 15608 Property & Casualty 8/31/2016

PABON CANTING EDWIN PO BOX 191797 SAN JUAN PR 00919 7877750687 [email protected] Y 10613

Property & Casualty,Surety,Malpractice,Vehicle,Marine and Transportation,Life,Title,Disability

4/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 21 of 28

Purcell Marti Eileen EILEEN PURCELL PAZ GRANELA SAN JUAN PR 00917-5120

7877831649 [email protected] Y 13164 Disability,Life,Property & Casualty

9/30/2016

POLICASTRO ALEXANDER 3625 CURTIS LANE MIAMI FL 33133 3053212644 [email protected] N 100108922 Property & Casualty,Marine and Transportation

5/19/2017

Porrata Colon Felicita RR-7 Box 17095 Toa Alta PR 00953 7872799031 Y 9361 Disability,Title,Property & Casualty,Life

1/31/2016

POWERS KERRY 4590 E HERITAGE WOODS ROAD BLOOMINGTON IN 47401

3175186071 [email protected] N 100109611 Property & Casualty 8/27/2017

PERRY COLETTE 612 LOST KEY DR UNIT 602B PENSACOLA FL 32507-2696

8502917607 [email protected] N 100107031 Property & Casualty 8/4/2016

PEREZ ADRIANA 8661 NW 17 COURT PEMBROKE PINES FL 33024

9545932951 [email protected] N 100108926 Health Services,Life,Variables 5/20/2017

PEREZ ANGIE 2 GREENVIEW RD OAKWOOD HILLS IL 60013-1088

8153568822 [email protected] N 100108024 Property & Casualty 1/9/2017

PATTERSON MICHAEL 2120 COWPER DRIVE RALEIGH NC 27608

9198441777 [email protected] N 100106461 Life,Health Services 5/19/2016

Pereles Martinez Tomas PO Box 1022 Sabana Seca PR 00952 7877869286 [email protected] Y 15604 Property & Casualty,Disability,Title,Life

10/31/2016

Perez Domenech Maria PO Box 191977 San Juan PR 00919-1977 9399699000 [email protected] Y 12035Disability,Property & Casualty,Health Services,Title,Life

4/30/2016

Pericas Rivera Jaime PO Box 367400 San Juan PR 00936-7400 7877080347 [email protected] Y 11113 Disability,Life,Property & Casualty

6/30/2016

PERKINS ANNE 1200 WILKINS RD ERIE PA 16505-1239 3306598283 [email protected] N 100107716 Life,Health Services 11/12/2016

Perez Otero Jose PO Box 6376 Bayamon PR 00960 7877973192 [email protected] Y 155 Life,Disability,Property & Casualty,Health Services

12/31/2016

Perez Santana Diana Parkville Court RH 4-5 Guaynabo PR 00969

7875368031 [email protected] Y 9280 Life,Health Services,Disability 2/28/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 22 of 28

Rios Vargas Orlando PO Box 2475 San Juan PR 00902 [email protected] Y 19366 Property & Casualty 2/29/2016

Rivera Aponte Karla Urb. Country Club 1155 Calle Olivia Paoli San Juan PR 00924

7877536018 Y 10159 Disability,Property & Casualty,Life

6/30/2016

Rivera Cotton Jose P.O. Box 3042 Guayama PR 00785 7876358233 [email protected] Y 13913 Property & Casualty,Title,Life,Disability

10/31/2016

RIORDAN THOMASRIORDAN %26 SCULLY INSURANCE SERVICE, LLC 815 COMMERCE DR OAK BROOK IL 60523-8838

6304685400 [email protected] N 100107371 Property & Casualty 9/23/2016

Ramos Coll Ramon PO Box 1016 Luquillo PR 00773-1016 [email protected] Y 1691 Disability,Life,Title,Property & Casualty

7/31/2016

Ramos Rodriguez Orlando PO Box 361893 San Juan PR 00936-1893 7875251930 [email protected] Y 59863Health Services,Disability,Property & Casualty,Life

4/30/2017

Quintana Pabon Erick PO Box 996 Guaynabo PR 00970 7877471808 Y 7248 Disability,Title,Property & Casualty

11/30/2016

RAISMAN MATTHEW 8763 BRIARWOOD MEADOW LANE BOYNTON BEACH FL 33473

2672552727 [email protected] N 100107715 Life,Health Services 11/11/2016

Rampolla Rosado Roberto PO Box 2794 Bayamon PR 00960 7874095882 [email protected] Y 13190 Life,Title,Disability,Property & Casualty

3/31/2016

REISING JOHN 1151 HARBOR BAY PARKWAY SUITE 136 ALAMEDA CA 94502

8474312863 [email protected] N 100109213 Life 6/29/2017

Reyes Martinez Enrique PO Box 6746 Santa Rosa Unit Bayamon PR 00960

7877873665 [email protected] Y 12519 Disability,Property & Casualty,Life

6/30/2016

REHOR JEFFREY 455 GREENWICH CIRCLE SPRING FL 34609-2723

3525934977 [email protected] N 100106047 Life,Health Services 3/31/2016

REID FRANKLINMETLIFE AUTO & HOME INS AGENCY INC 700 QUAKER LN WARWICK RI 02886-6681

8776380022 [email protected] N 100100926Life,Disability,Property & Casualty 5/19/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 23 of 28

SAEZ MALDONADO MARIA ESTANCIAS DE LA FUENTE AA-13 CALLE DUQUESA TOA ALTA PR 00953

7877174718 [email protected] Y 10499 Property & Casualty 7/31/2017

RUNGE DAVID KING COURT PLAYA 59 PH 201 SAN JUAN PR 00911

3037750727 [email protected] Y 100109524 Life 8/31/2017

RYAN KYLE 327 W BROADWAY GLENDALE CA 91204-1301

8184864267 [email protected] N 100108289 Health Services,Life 2/20/2017

Sadler Ian FDR Financial 4000 Hollywood Blvd. 49550 Hollywood FL 33021

9549615333 N 100103380 Life,Health Services 1/31/2016

Ruiz Rodriguez Gamalier PO Box 191851 San Juan PR 00919 7877541553 [email protected] Y 17722 Property & Casualty,Disability,Title,Life

8/31/2016

Rivera Rivera Felix PO BOX 2028 AIBONITO PR 00705-2028 7877355188 [email protected] Y 8553 Property & Casualty,Health Services,Life,Disability

2/28/2017

Rivera Vaquer Jose PO Box 192376 San Juan PR 00919 7875099164 Y 100105396 Property & Casualty 12/31/2015

RIVERA ESPARRA CARLOS PO BOX 1033 AIBONITO PR 00705 7876157756 [email protected] Y 10457Property & Casualty,Life,Disability,Health Services

8/31/2016

Rivera Olano Maria Cond Villas del Mar Este 5C Carolina PR 00979

7875091466 [email protected] Y 100107891 Property & Casualty 10/31/2016

Rodriguez Arce Ivan Encantada AN-31 Secc. Antillana Trujillo Alto PR 00976

7877553281 [email protected] Y 5723 Health Services,Property & Casualty,Title,Disability

3/31/2016

Rosado Morales Joaquin PO Box 3138 Guaynabo PR 00970 7872871155 [email protected] Y 15948 Disability,Health Services,Property & Casualty

5/31/2016

ROSS SCOTT 36 HILLTOP CIRCLE WHIPPANY NJ 7981

9734908632 [email protected] N 100109706 Property & Casualty 9/8/2017

Rodriguez Delgado Rodney PO Box 577 Aguada PR 00602 7873098222 [email protected] Y 9838 Disability,Property & Casualty,Life

6/30/2016

Rodriguez Pardo Beatriz Fountainblue Plaza - Apt. 901 3013 Ave. Alejandrino Guaynabo PR 00969

7876386272 [email protected] Y 1768 Life,Disability,Health Services 11/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 24 of 28

Schober Donald 2968 Chevy Chase Ln. Naperville IL 60564

3123562357 [email protected] N 100101565 Life,Property & Casualty,Health Services

6/30/2016

SCHULTE SARA 1003 BERKSHIRE ROAD ANN ARBOR MI 48104

7349132676 [email protected] N 100108760 Life,Health Services 4/27/2017

SCHUSTER KARL PO BOX 626 WALPOLE MA 02081-0626 5087406562 [email protected] N 100106852 Disability,Health Services,Life 7/14/2016

Savona Del Rosario Tomas Caribe Plaza 1802 San Juan PR 00901 7877638350 [email protected] Y 2248 Property & Casualty,Title,Disability

5/31/2017

Santiago Fonfrias AmauryPMB 41 - 400 Calle Calaf St. San Juan PR 00918 Y 48407

Life,Property & Casualty,Variables,Disability,Health Services

9/30/2015

Santiago Maura Emiliano PO Box 364392 San Juan PR 00936-3492 Y 745Health Services,Life,Disability,Property & Casualty,Title

2/28/2017

Salavitch David 24901 Woodland Circle Lee's Summit MO 64086

8166748067 [email protected] N 100101440 Property & Casualty 6/30/2016

SALVAGGIO ROSS 7331 CAREW ST HOUSTON TX 77074-4509

7137747331 [email protected] N 100106050 Life,Health Services 3/31/2016

Santiago Ramirez Carmelo Urb. Braulio Dueno Colon C-21 Calle 3 Bayamon PR 00959

7877860401 [email protected] Y 11632 Disability,Life,Title,Property & Casualty

6/30/2016

Santos Nieves William RR-1 Box 4314 Cidra PR 00739 7875282990 [email protected] Y 10815 Disability,Title,Property & Casualty

9/30/2016

SAUNDERS LESLIELESLIE SAUNDERS INS AGENCY INC 1535 DALE MABRY HWY STE 101 LUTZ FL 33548-3001

8139498964 [email protected] N 100109456Property & Casualty,Life,Health Services 8/3/2017

Santiago Torres Aladino Urb. Sultana # 56 Calle Sevilla Mayaguez PR 00680

7878349394 [email protected] Y 3170 Title,Life,Disability,Property & Casualty

10/31/2016

Santiago Vazquez Rene PMB 289 PO BOX 4956 Caguas PR 00725

9399692967 Y 100106356 Property & Casualty 4/30/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 25 of 28

STEWART JAMES 980 N MICHIGAN AVE STE 1400 CHICAGO IL 60611-7500

3122143625 [email protected] N 100109582 Property & Casualty 8/24/2017

Soto Lopez Juan PO BOX 10956 San Juan PR 00922 7873782878 [email protected] Y 8772 Property & Casualty 2/29/2016

SPITZER JAN 1981 NW 88TH CT MIAMI FL 33172-2637 3059086700 [email protected] N 100106095 Life,Health Services 4/7/2016

STAFFORD DARYLEVERACITY INSURANCE SOLUTIONS, LLC 260 S 2500 W STE 303 PLEASANT GROVE UT 84062-4704

8663951308 [email protected] N 100107763 Property & Casualty 11/21/2016

Soto Ayala Margieann Urb. Sabanera del Rio 138 Calle Camino de las Ceibas Gurabo PR 00778

[email protected] Y 36544 Property & Casualty 1/31/2017

SHAW KELLY 256 WEST 15TH STREET ELMIRA HEIGHTS NY 14903

6077383464 [email protected] N 100107992 Property & Casualty 12/22/2016

Silen Escudero Carlos 652 Calle Estado Apt. 200 San Juan PR 00907

7874617403 [email protected] Y 62738 Property & Casualty,Health Services,Disability,Life

5/31/2017

Segarra Janer Jorge PMB 615 Rd. 19 Guaynabo PR 00966-2700

7876400893 [email protected] Y 653 Life,Title,Property & Casualty,Disability

1/31/2017

Sepulveda Estrada Luis Paseo del Prado D-11 Camino Las Rosas San Juan PR 00926

7872830079 [email protected] Y 9186 Life,Title,Property & Casualty,Disability

2/28/2017

SIMONS LARRY 302 E COLUMBINE LN WESTFIELD IN 46074-9782

[email protected] N 100109651 Property & Casualty 9/1/2017

SNYDER RICHARD 10331 EMERALD WOODS AVENUE ORLANDO FL 32836

4072472543 [email protected] N 100105727 Life,Variables 2/20/2016

Snyder Wynona 10539 Dedeke Dr. New Braunfels TX 78132

2108920836 [email protected] N 52358 Life,Health Services,Disability 4/30/2017

Smith Bringas Ernesto Ext. Alameda A-18 Calle B San Juan PR 00926

7873801737 [email protected] Y 5042 Health Services,Title,Property & Casualty,Life,Variables,Disability

4/30/2017

SMITH DANAARCH INSURANCE GROUP INC. 11350 MCCORMICK RD STE 102 HUNT VALLEY MD 21031-1002

8006993845 [email protected] N 100106737Disability,Property & Casualty,Life,Marine and Transportation,Health Services

6/27/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 26 of 28

Vazquez Rivera Rene Cond. Villa del Mar Este Apto. 5-c Carolina PR 00979

7874296932 [email protected] Y 100105381 Property & Casualty 10/31/2015

Urrutia Valles Jorge PMB 652 1353 Ave. Luis Vigoreaux Guaynabo PR 00966

7872771919 [email protected] Y 9806 Title,Life,Disability,Property & Casualty

11/30/2016

VALORI JOHN 21 BARBARA DRIVE SPRINGFIELD PA 19064

3027651712 [email protected] N 100106072 Property & Casualty 4/3/2016

Varela Muniz Maria Paseo del Prado B19 Calle 4 San Juan PR 00926

7875791557 [email protected] Y 3028 Property & Casualty,Life,Disability,Title

8/31/2016

TURNER CELMIRA 10462 TOFFENHAM DR FRISCO TX 75035

2143856029 [email protected] N 100106903 Life,Health Services 7/16/2016

SWENSON RICHARD 3464 CRESTMOOR DR WOODBURY MN 55125

8668346311 [email protected] N 100109410 Life,Variables,Health Services 7/28/2017

Talavera Ramirez TamaraPMB 230 400 calle Calaf San Juan PR 00917 7877212268 [email protected] Y 11086

Life,Property & Casualty,Disability,Health Services

6/30/2016

STEWART JOHN 132 W PIERPONT AVE STE 250 SALT LAKE CITY UT 84101-1904

8013359411 [email protected] N 100108017 Life,Health Services 10/17/2016

STUDER ERIC 1047 SOUTH KIMBLES ROAD YARDLEY PA 19067

2159623720 [email protected] N 100107148 Life,Variables 8/21/2016

THOMPSON ANGELA 15487 BLUE HERON COURT SAN LEANDRO CA 94579

5104995579 [email protected] N 100109689 Life 9/4/2017

Torres Pacheco Domingo P.O. Box 10370 Ponce PR 00732 7878400810 [email protected] Y 3872Life,Property & Casualty,Disability,Title,Variables

10/31/2016

TRUDEAU COURTNEY 1845 NW 108TH AVE PLANTATION FL 33322

9543828125 [email protected] N 100106009 Life,Health Services,Disability 3/24/2016

Torres Correa Juan PO Box 140032 Arecibo PR 00614 7873565709 [email protected] Y 6433 Disability,Property & Casualty 5/31/2016

Torres Hernandez Evan Urb. Antillana 22 Plaza Santa Ana Cruz Trujillo Alto PR 00976

7873139225 [email protected] Y 11659 Life,Title,Property & Casualty,Disability

7/31/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 27 of 28

WHITTEN MATTWHITTEN & ASSOCIATES 419 EAST TENNESSEE STREET FLORENCE AL 35630

8665582121 [email protected] N 100109669 Life,Health Services 9/3/2017

WHITTENBURG DANIELLINCOLN FINANCIAL ADVISORS 3165 MILLROCK DR STE 300 HOLLADAY UT 84121-4700

8019306460 [email protected] N 100108109 Life,Health Services 1/28/2017

WIENIEWITZ HENRY 256 BROOKE VALLEY BLVD KNOXVILLE TN 37922

8656912433 [email protected] N 100108517 Life,Variables,Health Services 3/24/2017

WHITING ANDREW 417 UNION LN BRIELLE NJ 08730-1407 7322671049 [email protected] N 100106723 Life,Variables 6/25/2016

Villaverde Cuebas Emilio PO Box 270195 San Juan PR 00927 7872004289 [email protected] Y 10136 Property & Casualty,Life,Disability,Title

3/31/2016

Waggoner SeanALLIANT INSURANCE SERVICES 5444 WESTHEIMER RD FL 9 HOUSTON TX 77056-5397

7137826125 [email protected] N 53000 Life,Health Services,Disability 6/30/2016

VEATCH MATTHEW 14413 RUSSELL ST OVERLAND PARK KS 66223-1804

9136479700 [email protected] N 100107334 Life,Variables 9/17/2016

VILLANUEVA CRUZ CARMEN REXVILLE BNZ. 25 CALLE 41 BAYAMON PR 00957

7877583246 [email protected] Y 7100 Property & Casualty,Title,Life,Disability

5/31/2016

WARNER ARTHUR 19106 TWO RIVER LANE BOCA RATON FL 33498

5613531170 [email protected] N 100106642 Property & Casualty 6/12/2016

WETHERILLE JOAN 7730 COUNTY ROAD 26 MINNETRISTA MN 55359

6128524261 [email protected] N 100108835 Health Services,Life,Variables 5/5/2017

WHITE JERRYAMERICAN FINANCIAL GROUP, LTD 1205 WESTLAKES DRIVE SUITE 365 BERWYN PA 19312

6102963393 [email protected] N 100107504 Life,Disability,Health Services 10/16/2016

WCISLEK JAMI 26900 OAKMEAD DR. PERRYSBURG OH 43551

3306598283 [email protected] N 100106465 Life,Health Services 5/20/2016

WEIRICK LYNN WKA FINANCIAL, LLC GREENVILLE SC 29601-2782

8642415464 [email protected] N 100108224 Life,Disability,Variables,Health Services

2/12/2017

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE

Page 28 of 28

WOJCIECHOWICZ AMY 401 WEST ALVA ST TAMPA FL 33603 8137278411 [email protected] N 100107198 Life,Health Services 8/30/2016

WILSON JAMES 773 MILLBROOK LN HAVERFORD PA 19041-1210

4845831783 [email protected] N 100108067 Health Services,Variables,Life 1/21/2017

WILLIAMSON MATTHEWINSURANCE OFFICE OF AMERICA INC 1855 W STATE ROAD 434 LONGWOOD FL 32750

4077883000 [email protected] N 100107662 Health Services,Life 10/31/2016

ZERANTE ANTHONY 7205 HOMESTEAD PL SPRINGFIELD VA 22151-3301

7037908010 [email protected] N 100108266 Life 2/18/2017

ZEMKE RICHARD 4423 HORSESHOE PICK LANE VALRICO FL 33594

8132891000 [email protected] N 100109007 Life,Variables,Health Services 6/3/2017

Ygartua Salgado Carlos PMB 425 1353 Ave Luis Vigoreaux Guaynabo PR 00966

7872459024 [email protected] Y 100109073 Property & Casualty 12/31/2016

WILLIAMS EDWARD PO BOX 60 MERCER ISLAND WA 98040 2602329870 [email protected] N 100105858 Property & Casualty 3/10/2016

WILLIAMS GREGORIACOVENTRY HEALTH CARE 1100 CIRCLE 75 PARKWAY, STE. 1400 ATLANTA GA 30339

6782022174 [email protected] N 100106464Reinsurance,Malpractice,Disability,Fraternal Life,Life,Health Services

5/20/2016

WILLIAMS JOHN 8210 OSAGE LANE BETHESDA MD 20817

3017184637 [email protected] N 100106989 Health Services,Life 7/24/2016

Report Covered by Category and Line of Authority

Individual - Producer

NAME ADDRESSPHONE

NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY

EXPIRATION DATE