Agency Information

CLOVER HEALTH GROUP, LLC

Address:

5455 N FEDERAL HWY STE H

BOCA RATON, FL 33487

Phone

844-692-0185

URL:

Email:

info@cloverhealthgrp.com

National Producer Number:

20564110

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3891035	04/14/2023	Active	04/14/2023	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/14/2023	Active	04/14/2023

Company Name	Appointment Type	Status	Active Date
1046
AMERICAN FINANCIAL SECURITY LIFE INSURANCE COMPANY	Health	Active	10/23/2023
789
Company Name	Appointment Type	Status	Active Date
FEDERAL LIFE INSURANCE COMPANY	Health	Active	04/26/2023

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
KEITH LUTERMAN	Designated Resp Lic Prdcr	Yes	04/14/2023	-

1 - 1