black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TERRI L. JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN478124
Status:
First Licensure:
03/06/2024
Cancel Date:
None

Mailing:
INDIANAPOLIS, IN 46240
Phone:
+1 (888) 407-7044
Fax:
+1 (916) 608-4696
Email:
licensing@ehealthinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/06/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
EHEALTHINSURANCE SERVICES INC
03/08/2024 AGN68778

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
06/19/2024 HMD45749 10/24/2025
AMH HEALTH PLANS OF MAINE, INC.
03/07/2024 LHD353013
AMH HEALTH, LLC
03/07/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
03/07/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
03/07/2024 LHF125537 02/18/2026
ARCADIAN HEALTH PLAN INC
05/08/2024 HMF112421 02/25/2026
EMPHESYS INSURANCE COMPANY
11/24/2025 LHF410560
EMPIRE HEALTHCHOICE HMO, INC.
03/07/2024 HMF285382 07/01/2025
GOLDEN RULE INSURANCE COMPANY
03/23/2026 LHF918
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
11/13/2024 LHF58195
VISION SERVICE PLAN INSURANCE COMPANY
10/14/2025 LHF47545

Authority

Description Issue Date Termination Date Status
HEALTH 03/06/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17888326

Other Addresses

Address Type
INDIANAPOLIS, IN 46240
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: 05/08/2026 12:28:13 AM