black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

STACY L. FORTIN

PRODUCER RESIDENT

License Number:
PRR395063
Status:
First Licensure:
09/10/2021
Cancel Date:
None
Renewal Date:
05/31/2026

Continuing Education:
Required by 05/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
11

Mailing:
RUMFORD, ME 04276
Phone:
+1 (207) 357-5429
Fax:
+1 (207) 782-6884
Email:
stacy.l.fortin@mwarep.org

History

License Type Start Date End Date
PRODUCER RESIDENT 09/10/2021 05/31/2026

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/26/2025 HMD45749
AMERITAS LIFE INSURANCE CORP
08/20/2025 LHF944
AMH HEALTH PLANS OF MAINE, INC.
01/23/2025 LHD353013
AMH HEALTH, LLC
01/23/2025 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
01/23/2025 LHD70566
ANTHEM INSURANCE COMPANIES INC
01/23/2025 LHF125537
BANKERS FIDELITY LIFE INSURANCE COMPANY
05/20/2025 LHF84789
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
01/18/2025 LHF214634
EMPIRE HEALTHCHOICE HMO, INC.
01/23/2025 HMF285382 07/01/2025
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
11/25/2024 LHF168
GOLDEN RULE INSURANCE COMPANY
04/09/2025 LHF918
LIFE INSURANCE COMPANY OF THE SOUTHWEST
08/15/2025 LHF901
METROPOLITAN LIFE INSURANCE COMPANY
07/24/2023 LHF380
MODERN WOODMEN OF AMERICA
09/13/2021 FRF29322 10/23/2024
NATIONAL LIFE INSURANCE COMPANY
08/15/2025 LHF225
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
01/01/2025 LHF231
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/07/2025 LHF58195 07/24/2025
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/24/2025 LHF58195

Authority

Description Issue Date Termination Date Status
HEALTH 09/10/2021 Active
LIFE 09/10/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20062370

Other Addresses

Address Type
RUMFORD, ME 04276
Office

CE Courses

Date Description Course Number Content Areas
09/19/2025 2026 MEDICARE ADVANTAGE & PART D PLAN TRAINING 29817
6
credits in General Education
Total:
6
07/09/2025 PY2025 INDIVIDUAL MARKETPLACE FOR NEW AGENTS & BROKERS 29441
5
credits in General Education
Total:
5

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: 10/29/2025 05:33:38 PM