black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KRISTOPHER DAVID BOTWINICK

PRODUCER NON-RESIDENT

License Number:
PRN245970
Status:
First Licensure:
02/06/2015
Cancel Date:
None

Mailing:
WESTLAKE VILLAGE, CA 91362
Phone:
+1 (805) 713-4697
Email:
kristopher.botwinick@wellpoint.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/06/2015

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
01/06/2021 LHF374 07/09/2021
AMH HEALTH PLANS OF MAINE, INC.
04/15/2021 LHD353013
AMH HEALTH, LLC
04/15/2021 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
02/06/2015 LHD70566 10/21/2016
ANTHEM HEALTH PLANS OF MAINE INC.
04/15/2021 LHD70566
ANTHEM INSURANCE COMPANIES INC
06/22/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
02/06/2015 LHF70467 10/21/2016
ANTHEM LIFE INSURANCE COMPANY
05/01/2021 LHF70467 03/31/2025
EMPIRE HEALTHCHOICE HMO, INC.
10/26/2023 HMF285382
STANDARD INSURANCE COMPANY
12/13/2024 LHF991
WELLCARE OF MAINE, INC.
01/06/2021 HMD305081 07/09/2021
WELLCARE PRESCRIPTION INSURANCE INC
01/06/2021 LHF121869 07/09/2021

Authority

Description Issue Date Termination Date Status
HEALTH 02/06/2015 Active
LIFE 02/06/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
14943292

Other Phone Numbers

Phone Number Type
+1 (805) 713-4697 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: 06/25/2025 09:23:10 AM