black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMIR PALAVRA

PRODUCER NON-RESIDENT

License Number:
PRN398498
Status:
First Licensure:
10/02/2021
Cancel Date:
None

Mailing:
WEST JORDAN, UT 84081
Phone:
+1 (801) 413-9251
Fax:
+1 (801) 878-4143
Email:
samirpalavra@hotmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/02/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
ELITE ONE FINANCIAL
08/05/2023 AGN459050

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN AMICABLE LIFE INSURANCE COMPANY OF TEXAS
10/29/2025 LHF1004
AMERICO FINANCIAL LIFE AND ANNUITY INSURANCE COMPANY
06/06/2025 LHF139
AMH HEALTH PLANS OF MAINE, INC.
08/06/2023 LHD353013 04/08/2024
AMH HEALTH, LLC
08/06/2023 HMD329485 04/08/2024
ANTHEM HEALTH PLANS OF MAINE INC.
08/06/2023 LHD70566 04/08/2024
ANTHEM INSURANCE COMPANIES INC
08/06/2023 LHF125537 04/08/2024
EMPIRE HEALTHCHOICE HMO, INC.
08/06/2023 HMF285382 04/08/2024
GERBER LIFE INSURANCE COMPANY
05/16/2024 LHF185
THE SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS
10/09/2023 LHF50668
UNITED OF OMAHA LIFE INSURANCE COMPANY
08/10/2023 LHF28

Authority

Description Issue Date Termination Date Status
HEALTH 10/02/2021 Active
LIFE 10/02/2021 Active

Responsible For

Name License Number
ELITE ONE FINANCIAL AGN459050

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19226110

Other Addresses

Address Type
WEST JORDAN, UT 84081
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: 11/21/2025 06:10:43 AM