black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TUPTIM ELICHALT

PRODUCER NON-RESIDENT

License Number:
PRN434155
Status:
First Licensure:
10/14/2022
Cancel Date:
None

Mailing:
FAIRFIELD, ME 04937
Phone:
+1 (508) 232-5619
Email:
tuptim19insurance@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/14/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
06/10/2024 LHF846 06/26/2024
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
09/10/2024 LHF846
AMERICAN GENERAL LIFE INSURANCE COMPANY
03/05/2025 LHF119
AMH HEALTH PLANS OF MAINE, INC.
04/16/2023 LHD353013
AMH HEALTH, LLC
04/16/2023 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
04/16/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
04/16/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
04/16/2023 LHF70467 04/11/2025
EMPIRE HEALTHCHOICE HMO, INC.
04/16/2023 HMF285382 07/01/2025
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
09/04/2024 LHF168
LIFE INSURANCE COMPANY OF THE SOUTHWEST
03/22/2024 LHF901
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
01/24/2023 LHF62021 09/26/2025
SYMETRA LIFE INSURANCE COMPANY
10/07/2024 LHF777
TRANSAMERICA LIFE INSURANCE COMPANY
11/04/2022 LHF726 03/25/2025
WELLPOINT LIFE AND HEALTH INSURANCE COMPANY
04/16/2023 LHF49485

Authority

Description Issue Date Termination Date Status
HEALTH 10/14/2022 Active
LIFE 10/14/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20019747

Other Addresses

Address Type
200 SIDER POND ROAD
FALMOUTH, MA 02540
Office

CE Courses

Date Description Course Number Content Areas
09/01/2023 MAINE PARTNERSHIP LONG TERM CARE FOLLOW-UP TRAINING ME16507
4
credits in Long Term Care
Total:
4
01/17/2023 LONG TERM CARE PARTNERSHIP ME15104
8
credits in Long Term Care
Total:
8

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: 03/20/2026 05:20:48 PM