black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FREDERICK ALEXANDER DAVIS

PRODUCER NON-RESIDENT

License Number:
PRN440147
Status:
First Licensure:
12/22/2022
Cancel Date:
None

Mailing:
NEW YORK, NY 10003
Phone:
+1 (201) 540-8996
Fax:
+1 (866) 625-2751
Email:
rts_trey@askchapter.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/22/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
FIDELITY HEALTH INS SERVICES LLC
02/23/2024 AGN254729 09/03/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
03/19/2024 LHD353013 08/29/2025
AMH HEALTH PLANS OF MAINE, INC.
11/06/2025 LHD353013 03/17/2026
AMH HEALTH, LLC
03/19/2024 HMD329485 08/29/2025
AMH HEALTH, LLC
11/06/2025 HMD329485 03/17/2026
ANTHEM HEALTH PLANS OF MAINE INC.
03/19/2024 LHD70566 08/29/2025
ANTHEM HEALTH PLANS OF MAINE INC.
11/06/2025 LHD70566 03/17/2026
ANTHEM INSURANCE COMPANIES INC
03/19/2024 LHF125537 08/29/2025
ANTHEM INSURANCE COMPANIES INC
11/06/2025 LHF125537 02/18/2026
EMPIRE HEALTHCHOICE HMO, INC.
03/19/2024 HMF285382 07/01/2025
INSURANCE COMPANY OF NORTH AMERICA
03/31/2026 PCF480

Authority

Description Issue Date Termination Date Status
HEALTH 12/22/2022 Active
LIFE 12/22/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19552111

Other Addresses

Address Type
NEW YORK, NY 10003
Office

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: 07/31/2026 04:15:34 PM