black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TORI B. CHAPMAN

PRODUCER RESIDENT

License Number:
PRR77162
Status:
Active
First Licensure:
03/22/2001
Cancel Date:
None
Renewal Date:
09/30/2026

Continuing Education:
Required by 09/30/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
STRONG, ME 04983
Phone:
+1 (207) 229-5847
Email:
tori@mainemountaininsurance.com

History
License Type Start Date End Date
PRODUCER RESIDENT 03/22/2001 09/30/2026

Agency
Name Issue Date License Number Expiration Date Cancel Date
AMY ALWARD AGENCY INC
 05/15/2002 AGR69668 09/15/2006
DEAN WITTER REYNOLDS INSURANCE SERVICES (MAINE)INC
 03/22/2001 AGR65479 03/22/2001
MAINE MOUNTAIN INSURANCE
 10/21/2022 AGR434888
NEW ENGLAND BUSINESS ASSOCIATION
 09/15/2006 AGR39273 01/04/2013
PAQUIN & CARROLL LLC
 01/04/2013 AGR148236 02/04/2015
PAQUIN & CARROLL LLC
 02/04/2015 AGR245816 12/05/2022

Employer
Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
 10/31/2005 HMD45749
AETNA LIFE INSURANCE COMPANY
 10/31/2005 LHF621
ALL SAVERS INSURANCE COMPANY
 10/29/2018 LHF233900
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
 11/15/2005 LHF846 09/04/2011
ALLSTATE INDEMNITY COMPANY
 06/18/2002 PCF522 12/19/2005
ALLSTATE INSURANCE COMPANY
 06/18/2002 PCF354 12/19/2005
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 10/20/2003 PCF84066 12/19/2005
AMERICAN GENERAL LIFE INSURANCE COMPANY
 08/16/2012 LHF119 12/20/2013
AMERICAN GENERAL LIFE INSURANCE COMPANY
 11/25/2014 LHF119 02/11/2022
AMERICAN HERITAGE LIFE INSURANCE COMPANY
 11/13/2002 LHF594 07/19/2007
AMERICAN NATIONAL INSURANCE COMPANY
 03/07/2007 LHF11 01/08/2018
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 05/11/2023 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 08/28/2023 LHF374
AMERITAS LIFE INSURANCE CORP
 03/03/2004 LHF944 06/05/2009
AMH HEALTH PLANS OF MAINE, INC.
 09/16/2021 LHD353013 11/01/2022
AMH HEALTH PLANS OF MAINE, INC.
 11/29/2022 LHD353013
AMH HEALTH, LLC
 10/01/2019 HMD329485 11/01/2022
AMH HEALTH, LLC
 11/29/2022 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
 11/08/2005 LHD70566 11/01/2022
ANTHEM HEALTH PLANS OF MAINE INC.
 11/29/2022 LHD70566
ANTHEM INSURANCE COMPANIES INC
 07/01/2006 LHF125537 10/12/2012
ANTHEM INSURANCE COMPANIES INC
 06/24/2021 LHF125537 11/01/2022
ANTHEM INSURANCE COMPANIES INC
 05/24/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
 11/08/2005 LHF70467 11/01/2022
ANTHEM LIFE INSURANCE COMPANY
 11/29/2022 LHF70467 04/11/2025
ARCADIAN HEALTH PLAN INC
 07/25/2007 HMF112421 03/27/2013
ASSURITY LIFE INSURANCE COMPANY
 12/02/2005 LHF179 10/12/2007
BANNER LIFE INSURANCE COMPANY
 04/28/2015 LHF50047 05/31/2024
BOSTON MUTUAL LIFE INSURANCE COMPANY
 07/16/2014 LHF135
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 08/10/2022 LHF214634 01/25/2024
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 01/17/2025 LHF214634
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
 06/23/2010 LHF100 02/06/2017
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
 02/05/2017 LHF100
COMBINED INSURANCE COMPANY OF AMERICA
 09/23/2015 LHF144
CONCORD HERITAGE LIFE INSURANCE COMPANY INC
 11/14/2002 LHF146 01/01/2009
DEARBORN LIFE INSURANCE COMPANY
 12/28/2005 LHF919 08/15/2014
EMPIRE HEALTHCHOICE HMO, INC.
 05/24/2023 HMF285382
EVERLAKE LIFE INSURANCE COMPANY
 06/18/2002 LHF112 12/19/2005
FIRST COLONY LIFE INSURANCE COMPANY
 04/19/2006 LHF175 01/01/2007
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
 04/01/2008 LHF842
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
 01/01/2007 LHF966 04/19/2010
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
 10/07/2010 LHF966 05/14/2012
GENWORTH LIFE INS CO
 06/29/2007 LHF46264 04/19/2010
GENWORTH LIFE INS CO
 11/07/2013 LHF46264 04/12/2016
GUARANTEE TRUST LIFE INSURANCE COMPANY
 08/09/2022 LHF191
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
 06/10/2014 LHF644
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
 03/05/2014 LHF193
HUMANA INSURANCE COMPANY
 06/01/2023 LHF980 09/18/2023
HUMANADENTAL INSURANCE COMPANY
 06/01/2023 LHF173873
INDEPENDENCE AMERICAN INSURANCE COMPANY
 02/27/2019 PCF86149 09/21/2023
JOHN ALDEN LIFE INSURANCE COMPANY
 04/22/2009 LHF724 01/24/2013
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
 06/08/2016 LHF210 05/01/2021
LINCOLN BENEFIT LIFE COMPANY
 09/14/2004 LHF973 12/22/2005
MAINE COMMUNITY HEALTH OPTIONS
 10/15/2013 NPD214118
MAINE DENTAL SERVICE CORP
 02/24/2020 NPD29330
MARTINS POINT GENERATIONS LLC
 07/01/2008 HMD125915 12/01/2011
MUTUAL OF OMAHA INSURANCE COMPANY
 01/16/2006 LHF84 08/16/2010
PACIFICARE LIFE AND HEALTH INSURANCE COMPANY
 10/19/2006 LHF102906 03/08/2010
PATRIOT LIFE INSURANCE COMPANY
 10/01/2015 LHF43811 02/23/2023
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
 09/27/2013 LHF161852
RED TREE INSURANCE COMPANY INC
 04/07/2021 LHF174438
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 08/10/2022 LHF58195
STANDARD INSURANCE COMPANY
 05/19/2015 LHF991
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK
 12/29/2017 LHF267 09/26/2019
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
 01/30/2015 LHF271
SYMETRA LIFE INSURANCE COMPANY
 02/05/2007 LHF777 02/27/2013
SYMETRA LIFE INSURANCE COMPANY
 06/29/2016 LHF777 09/19/2022
TARO HEALTH PLAN OF MAINE, INC.
 09/09/2024 HMD419618
TIME INSURANCE COMPANY
 08/07/2012 LHF276 06/21/2013
UNION SECURITY INSURANCE COMPANY
 07/26/2013 LHF295
UNITED OF OMAHA LIFE INSURANCE COMPANY
 01/16/2006 LHF28 08/16/2010
UNITED OF OMAHA LIFE INSURANCE COMPANY
 07/08/2016 LHF28 02/27/2020
UNITEDHEALTHCARE INSURANCE COMPANY
 10/18/2017 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
 11/01/2021 HMF393375
UNITEDHEALTHCARE OF WISCONSIN, INC.
 08/10/2022 HMF376407 01/25/2024
VISION SERVICE PLAN INSURANCE COMPANY
 06/12/2015 LHF47545
WELLCARE PRESCRIPTION INSURANCE INC
 12/13/2018 LHF121869

Authority
Description Issue Date Termination Date Status
CASUALTY 05/15/2002 Active
HEALTH 03/22/2001 Active
LIFE 03/22/2001 Active
PROPERTY 05/15/2002 Active
VARIABLE CONTRACTS 03/22/2001 Active

Responsible For
Name License Number
MAINE MOUNTAIN INSURANCE AGR434888

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4558861

Other Addresses
Address Type
119 CHURCH HL
STRONG, ME 04983-3344
 Office

Other Phone Numbers
Phone Number Type
+1 (207) 229-5847 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: 05/14/2025 06:38:59 PM