black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BENJAMIN SEITZ

PRODUCER NON-RESIDENT

License Number:
PRN320155
Status:
First Licensure:
10/25/2018
Cancel Date:
None

Mailing:
PHOENIX, AZ 85016
Phone:
+1 (866) 836-6162
Fax:
+1 (210) 625-9182
Email:
phoenixlicensing@humana.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/25/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
FIDELITY HEALTH INS SERVICES LLC
02/23/2024 AGN254729
HUMANA MARKETPOINT INC
02/08/2019 AGN99986 09/01/2022

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
04/16/2024 LHD353013
AMH HEALTH, LLC
04/16/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
04/16/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
04/16/2024 LHF125537
ARCADIAN HEALTH PLAN INC
10/29/2018 HMF112421 02/28/2024
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/16/2022 LHF214634 01/25/2024
EMPIRE HEALTHCHOICE HMO, INC.
04/16/2024 HMF285382
HUMANA INSURANCE COMPANY
10/29/2018 LHF980 10/04/2023
HUMANA INSURANCE COMPANY
04/30/2024 LHF980
HUMANADENTAL INSURANCE COMPANY
10/29/2018 LHF173873
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/16/2022 LHF58195
UNITED OF OMAHA LIFE INSURANCE COMPANY
04/16/2024 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
07/16/2022 LHF700
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/17/2022 HMF376407 01/25/2024
WELLCARE PRESCRIPTION INSURANCE INC
05/07/2024 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 10/25/2018 Active
LIFE 10/25/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16366487

Other Addresses

Address Type
PHOENIX, AZ 85016
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: 05/20/2024 05:38:32 PM