PRODUCER NON-RESIDENT
dynamite.cheyenne@gmail.com
License Type
Start Date
End Date
PRODUCER NON-RESIDENT
10/21/2021
Name
Issue Date
License Number
Expiration Date
Cancel Date
ASSURANCE IQ LLC 06/27/2023
AGN270226
06/06/2024
GOHEALTH LLC 06/27/2024
AGN159145
04/17/2025
Name
Issue Date
License Number
Expiration Date
Cancel Date
AETNA HEALTH INC 12/06/2025
HMD45749
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK 03/18/2023
LHF374
05/29/2024
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK 10/21/2025
LHF374
AMH HEALTH PLANS OF MAINE, INC. 12/13/2021
LHD353013
05/07/2024
AMH HEALTH PLANS OF MAINE, INC. 05/21/2024
LHD353013
AMH HEALTH, LLC 12/13/2021
HMD329485
05/07/2024
AMH HEALTH, LLC 05/21/2024
HMD329485
ANTHEM HEALTH PLANS OF MAINE INC. 12/13/2021
LHD70566
05/07/2024
ANTHEM HEALTH PLANS OF MAINE INC. 05/21/2024
LHD70566
ANTHEM INSURANCE COMPANIES INC 12/13/2021
LHF125537
05/07/2024
ANTHEM INSURANCE COMPANIES INC 05/21/2024
LHF125537
ARCADIAN HEALTH PLAN INC 10/19/2022
HMF112421
05/20/2024
ARCADIAN HEALTH PLAN INC 07/25/2024
HMF112421
06/17/2025
ARCADIAN HEALTH PLAN INC 10/20/2025
HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY 10/21/2021
LHF214634
08/19/2022
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY 11/14/2022
LHF214634
03/19/2025
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY 06/02/2025
LHF214634
01/23/2026
EMPIRE HEALTHCHOICE HMO, INC. 12/13/2021
HMF285382
05/07/2024
EMPIRE HEALTHCHOICE HMO, INC. 05/21/2024
HMF285382
07/01/2025
HUMANA INSURANCE COMPANY 02/15/2023
LHF980
05/20/2024
MEDCO CONTAINMENT LIFE INSURANCE COMPANY 12/09/2025
LHF183
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC. 10/21/2021
LHF58195
08/19/2022
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC. 10/12/2024
LHF58195
03/19/2025
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC. 06/14/2025
LHF58195
UNITEDHEALTHCARE INSURANCE COMPANY 10/21/2021
LHF700
08/19/2022
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA 10/21/2021
LHF983
12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC. 11/14/2022
HMF376407
03/19/2025
UNITEDHEALTHCARE OF WISCONSIN, INC. 06/14/2025
HMF376407
WELLCARE OF MAINE, INC. 04/18/2023
HMD305081
05/29/2024
WELLCARE OF MAINE, INC. 11/08/2024
HMD305081
Description
Issue Date
Termination Date
Status
HEALTH
10/21/2021
Active
GENERAL INFORMATION
National Producer Number (NPN):
20019659
Address
Type
214 W HURON ST
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: 02/18/2026 08:04:58 PM
