black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE LYNN MOUNTJOY

PRODUCER RESIDENT

License Number:
PRR195964
Status:
First Licensure:
10/14/2011
Cancel Date:
07/01/2022
Renewal Date:
07/01/2022

Mailing:
NEW GLOUCESTER, ME 04260
Phone:
+1 (207) 212-3155
Fax:
+1 (888) 349-2315
Email:
mjm4562@gmail.com

History

License Type Start Date End Date
*** NOT ACTIVE *** 05/01/2022 07/01/2022
PRODUCER RESIDENT 09/30/2020 04/30/2022
*** NOT ACTIVE *** 05/01/2020 09/29/2020
PRODUCER RESIDENT 10/14/2011 04/30/2020

License Suspension

Start Date End Date
05/01/2022 06/30/2022
05/01/2020 06/30/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
NORTHERN BENEFITS OF MAINE LLC
10/14/2011 AGR118447 10/19/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
03/13/2012 HMD45749 07/01/2020
AETNA LIFE INSURANCE COMPANY
03/13/2012 LHF621 07/01/2020
ANTHEM HEALTH PLANS OF MAINE INC.
01/05/2012 LHD70566 06/01/2016
ANTHEM HEALTH PLANS OF MAINE INC.
08/01/2017 LHD70566 04/23/2019
ANTHEM HEALTH PLANS OF MAINE INC.
10/13/2020 LHD70566 07/01/2022
ANTHEM LIFE INSURANCE COMPANY
01/05/2012 LHF70467 06/01/2016
ANTHEM LIFE INSURANCE COMPANY
08/01/2017 LHF70467 04/23/2019
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/20/2013 LHF214634 09/25/2015
MAINE COMMUNITY HEALTH OPTIONS
01/01/2014 NPD214118 03/01/2016
MAINE COMMUNITY HEALTH OPTIONS
08/10/2017 NPD214118 07/01/2020
MAINE DENTAL SERVICE CORP
01/01/2015 NPD29330 07/01/2020
MAINE DENTAL SERVICE CORP
04/28/2021 NPD29330 07/01/2022
NATIONAL HEALTH INSURANCE COMPANY
06/11/2018 LHF917 07/01/2020
PACIFIC LIFE INSURANCE COMPANY
01/05/2018 LHF237 07/01/2020
PROTECTIVE LIFE INSURANCE COMPANY
01/18/2018 LHF888 07/01/2020
SECURIAN LIFE INSURANCE COMPANY
06/11/2018 LHF120264 07/01/2020
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/13/2014 LHF58195 09/25/2015
TIME INSURANCE COMPANY
03/14/2012 LHF276 06/25/2015
TRANSAMERICA LIFE INSURANCE COMPANY
05/29/2014 LHF726 07/01/2020
UNITEDHEALTHCARE INSURANCE COMPANY
05/13/2013 LHF700 09/25/2015

Authority

Description Issue Date Termination Date Status
HEALTH 09/30/2020 07/01/2022 Terminated
HEALTH 10/14/2011 07/01/2020 Terminated
LIFE 10/14/2011 07/01/2020 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16430033

Other Addresses

Address Type
NEW GLOUCESTER, ME 04260
Office

CE Courses

Date Description Course Number Content Areas
09/20/2020 HEALTH AND DISABILITY INSURANCE BASICS 24517
3
credits in General Education
Total:
3
10/30/2019 SMALL BUSINESS EMPLOYEE BENEFIT PLANS 24707
4
credits in General Education
Total:
4
10/15/2019 HEALTH AND DISABILITY INSURANCE BASICS 24517
3
credits in General Education
Total:
3
10/07/2019 HIGH DEDUCTIBLE HEALTH PLANS 23657
2
credits in General Education
Total:
2
12/12/2018 ANTI-MONEY LAUNDERING LEGISLATION ME17029
7
credits in Ethics
Total:
7
01/10/2018 LIFE INSURANCE ESSENTIALS 24417
3
credits in General Education
Total:
3
01/09/2018 LIFE UNDERWRITING BASICS 24695
1
credits in General Education
Total:
1
01/03/2018 HIGH DEDUCTIBLE HEALTH PLANS 23657
2
credits in General Education
Total:
2
11/16/2017 INTRODUCTION TO RISK MANAGEMENT ME17039
4
credits in General Education
Total:
4
11/16/2017 BASIC ETHICS FOR INSURANCE PROFESSIONALS ME17001
5
credits in Ethics
Total:
5
11/07/2017 EMPLOYEE BENEFITS FOR SMALL COMPANIES 20659
4
credits in General Education
Total:
4
09/06/2017 ACA AND GRANDFATHERED HEALTH PLANS 23902
1
credits in General Education
Total:
1
08/22/2017 SMALL BUSINESS EMPLOYEE BENEFIT PLANS 24707
4
credits in General Education
Total:
4
01/27/2016 UNDERSTANDING CYBER RISK 23424
3
credits in General Education
Total:
3
01/25/2016 HEALTH SAVINGS ACCOUNTS 20649
3
credits in Ethics
9
credits in General Education
Total:
12
06/28/2015 THE AFFORDABLE CARE ACT: WHAT BROKERS NEED TO KNOW 23217
1
credits in General Education
Total:
1
06/11/2015 HEALTHCARE REFORM AND THE AFFORDABLE CARE ACT 20403
3
credits in Ethics
2
credits in General Education
Total:
5
06/08/2015 EMPLOYEE BENEFITS FOR SMALL COMPANIES 20659
4
credits in General Education
Total:
4
02/03/2014 SOCIAL SECURITY, MEDICARE, MEDICAID ME17008
15
credits in General Education
Total:
15
02/02/2014 EMPLOYEE BENEFITS FOR SMALL COMPANIES 20659
4
credits in General Education
Total:
4
01/31/2014 HEALTHCARE REFORM AND THE AFFORDABLE CARE ACT 20403
3
credits in Ethics
2
credits in General Education
Total:
5
09/25/2013 2014 MEDICARE ADVANTAGE & PART D PLAN TRAINING 21902
6
credits in General Education
Total:
6
06/13/2012 HEALTH INSURANCE ISSUES IN THE 125TH LEGISLATURE, SECOND SESSION 21062
2
credits in General Education
Total:
2

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/22/2026 06:07:39 PM