black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAZIDERIO L. TALLEY

PRODUCER NON-RESIDENT

License Number:
PRN448114
Status:
First Licensure:
04/04/2023
Cancel Date:
None

Mailing:
HOLLYWOOD, FL 33020
Phone:
+1 (561) 430-4066
Fax:
+1 (561) 999-9999
Email:
dtalley@dhinsurancegroup.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/04/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
05/15/2023 LHD353013 04/08/2024
AMH HEALTH PLANS OF MAINE, INC.
09/22/2025 LHD353013 02/23/2026
AMH HEALTH, LLC
05/15/2023 HMD329485 04/08/2024
AMH HEALTH, LLC
09/22/2025 HMD329485 02/23/2026
ANTHEM HEALTH PLANS OF MAINE INC.
05/15/2023 LHD70566 04/08/2024
ANTHEM HEALTH PLANS OF MAINE INC.
09/22/2025 LHD70566 02/23/2026
ANTHEM INSURANCE COMPANIES INC
05/15/2023 LHF125537 04/08/2024
ANTHEM INSURANCE COMPANIES INC
09/22/2025 LHF125537 02/18/2026
ARCADIAN HEALTH PLAN INC
06/21/2024 HMF112421 07/02/2025
EMPHESYS INSURANCE COMPANY
10/31/2025 LHF410560
EMPIRE HEALTHCHOICE HMO, INC.
05/15/2023 HMF285382 04/08/2024
HUMANA INSURANCE COMPANY
10/23/2024 LHF980 07/02/2025
WELLCARE OF MAINE, INC.
01/09/2025 HMD305081 07/23/2025

Authority

Description Issue Date Termination Date Status
HEALTH 04/04/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19669311

Other Addresses

Address Type
1211 N WEST SHORE BLVD
TAMPA, FL 33607-4600
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: 04/01/2026 10:43:31 AM