Agency Information

FOCUSED HEALTH ACQUISITION LLC

Address:

1565 S PIAZZA DRIVE

BLOOMINGTON, IN 47401

Phone

812-650-5807

URL:

Email:

ktabor@bloominsurance.com

National Producer Number:

21378783

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	4085278	02/11/2025	Active	02/11/2025	02/29/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/11/2025	Active	02/11/2025
Life	02/11/2025	Active	02/11/2025

Company Name	Appointment Type	Status	Active Date
174724
HEALTH NET OF ARIZONA, INC. DBA WELLCARE; WELLCARE BY ALLWELL	Health	Active	02/20/2025
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	02/20/2025

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
MEREDITH ROGERS	Designated Resp Lic Prdcr	No	02/11/2025	-

1 - 1