black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB LORENZO MATHIS

PRODUCER NON-RESIDENT

License Number:
PRN445141
Status:
First Licensure:
03/01/2023
Cancel Date:
None

Mailing:
ORLANDO, FL 32827
Phone:
+1 (800) 328-7305
Fax:
+1 (877) 868-9694
Email:
agentinfo@healthplanone.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/01/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEALTH PLAN ONE LLC
03/01/2023 AGN150231

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
03/03/2023 LHF374 10/26/2023
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
11/11/2023 LHF214634 04/11/2024
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
12/26/2023 LHF58195 04/11/2024
UNITEDHEALTHCARE OF WISCONSIN, INC.
11/11/2023 HMF376407 04/11/2024
WELLCARE OF MAINE, INC.
03/03/2023 HMD305081 10/26/2023
WELLCARE PRESCRIPTION INSURANCE INC
03/03/2023 LHF121869 10/26/2023

Authority

Description Issue Date Termination Date Status
HEALTH 03/01/2023 Active
LIFE 03/01/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19888711

Other Addresses

Address Type
ORLANDO, FL 32827
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: 06/09/2025 05:33:43 PM