black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TIFFANY ROQUE

PRODUCER NON-RESIDENT

License Number:
PRN292371
Status:
First Licensure:
08/25/2017
Cancel Date:
None

Mailing:
ATTLEBORO, MA 02703
Phone:
+1 (617) 658-7134
Email:
tiffany.roque@imacorp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/25/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
IMA INC -000
12/29/2023 AGN193556
MERCER HEALTH & BENEFITS ADMINISTRATION LLC
08/25/2017 AGN189659

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
09/15/2017 LHD70566 08/18/2021
ARCADIAN HEALTH PLAN INC
10/23/2017 HMF112421 02/12/2018
CIGNA HEALTH AND LIFE INSURANCE COMPANY
11/13/2018 LHF860
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
10/10/2019 LHF644 10/25/2022
HUMANA INSURANCE COMPANY
10/23/2017 LHF980 02/12/2018
LOYAL AMERICAN LIFE INSURANCE COMPANY
01/16/2018 LHF207 10/27/2021
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
10/05/2017 LHF58195 01/20/2021
UNITEDHEALTHCARE INSURANCE COMPANY
10/05/2017 LHF700 01/20/2021
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
10/05/2017 LHF983 01/20/2021

Authority

Description Issue Date Termination Date Status
HEALTH 08/25/2017 Active
LIFE 08/25/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18514915

Other Addresses

Address Type
300 WASHINGTON ST STE 650
NEWTON, MA 02458-1655
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: 04/29/2026 08:00:12 AM