Agency Information

BLAM INC.

Address:

4195 CHINO HILLS PKWY

CHINO HILLS, CA 91709

Phone

626-372-6555

URL:

Email:

blq@blamgroup.com

National Producer Number:

16652227

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	4015355	06/10/2024	Active	06/10/2024	06/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	06/10/2024	Active	06/10/2024
Life	06/10/2024	Active	06/10/2024
Limited Portable Electronics	06/10/2024	Active	06/10/2024

Company Name	Appointment Type	Status	Active Date
174724
HEALTH NET OF ARIZONA, INC. DBA WELLCARE; WELLCARE BY ALLWELL	Health	Active	10/06/2024
141630
Company Name	Appointment Type	Status	Active Date
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	01/10/2025
18167
Company Name	Appointment Type	Status	Active Date
SILVERSUMMIT HEALTHPLAN INC	Health	Active	03/27/2025
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	06/12/2024

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
BETTY LAM-QUAN	Designated Resp Lic Prdcr	Yes	06/10/2024	-

1 - 1