black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL J. HICKS

PRODUCER NON-RESIDENT

License Number:
PRN456132
Status:
First Licensure:
07/07/2023
Cancel Date:
None

Mailing:
LONG BEACH, CA 90803
Phone:
+1 (626) 799-7000
Fax:
+1 (562) 843-4114
Email:
michael.hicks@imacorp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/07/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
EHEALTHINSURANCE SERVICES INC
07/12/2023 AGN68778 11/17/2023
IMA INC -000
05/31/2024 AGN193556

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
07/07/2023 LHD353013 09/14/2023
AMH HEALTH, LLC
07/07/2023 HMD329485 09/14/2023
ANTHEM HEALTH PLANS OF MAINE INC.
07/07/2023 LHD70566 09/14/2023
ANTHEM INSURANCE COMPANIES INC
07/07/2023 LHF125537 09/14/2023
EMPIRE HEALTHCHOICE HMO, INC.
07/07/2023 HMF285382 09/14/2023

Authority

Description Issue Date Termination Date Status
HEALTH 07/07/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20590419

Other Addresses

Address Type
3475 E FOOTHILL BLVD STE 100
PASADENA, CA 91107-6024
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: 05/21/2025 09:31:38 PM