black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSICA R. SAMSON

PRODUCER RESIDENT

License Number:
PRR115321
Status:
First Licensure:
06/21/2005
Cancel Date:
None
Renewal Date:
03/31/2027

Continuing Education:
Required by 03/31/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
AUBURN, ME 04210
Phone:
+1 (207) 822-7215
Fax:
+1 (207) 822-7741
Email:
jessicasamson93@gmail.com

History

License Type Start Date End Date
PRODUCER RESIDENT 06/21/2005 03/31/2027

Agency

Name Issue Date License Number Expiration Date Cancel Date
CROSS BENEFIT SOLUTIONS
05/10/2018 AGR47532 01/21/2020

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
06/15/2024 LHD353013
AMH HEALTH, LLC
12/01/2021 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
03/15/2008 LHD70566 04/11/2018
ANTHEM HEALTH PLANS OF MAINE INC.
02/01/2020 LHD70566
ANTHEM INSURANCE COMPANIES INC
02/15/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
03/01/2011 LHF70467 04/11/2018
ANTHEM LIFE INSURANCE COMPANY
02/01/2020 LHF70467 03/31/2025
STANDARD INSURANCE COMPANY
04/03/2024 LHF991

Authority

Description Issue Date Termination Date Status
HEALTH 06/21/2005 Active
LIFE 06/21/2005 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8499561

Other Addresses

Address Type
ANTHEM BLUE CROSS AND BLUE SHIELD
2 GANNETT DR
SOUTH PORTLAND, ME 04106-6909
Office

Other Phone Numbers

Phone Number Type
+1 (207) 822-7215 Office

CE Courses

None.

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: 05/20/2025 04:33:40 PM