black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

YASMINE S. LOPEZ

PRODUCER NON-RESIDENT

License Number:
PRN455023
Status:
First Licensure:
06/22/2023
Cancel Date:
None

Mailing:
RIVERTON, UT 84095
Phone:
+1 (385) 445-4933
Email:
yasmine@moxiemedbenefits.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/22/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
MOXIE MED BENEFITS
01/13/2024 AGN474060 06/30/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
07/09/2024 PCF44
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
08/21/2023 LHF214634

Authority

Description Issue Date Termination Date Status
HEALTH 06/22/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19207801

Other Addresses

Address Type
11643 S WATERSIDE RD
RIVERTON, UT 84095-7935
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: 10/20/2025 03:54:42 AM