black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK TICE

PRODUCER NON-RESIDENT

License Number:
PRN312605
Status:
First Licensure:
07/11/2018
Cancel Date:
None

Mailing:
FOLKSTON, GA 31537
Phone:
+1 (800) 328-7305
Fax:
+1 (877) 868-9694
Email:
agentinfo@healthplanone.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/11/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
ENSUREM II LLC
07/23/2019 AGN264805

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
11/29/2019 HMD45749
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
02/23/2024 LHF374 08/13/2024
AMERITAS LIFE INSURANCE CORP
07/08/2020 LHF944
AMH HEALTH PLANS OF MAINE, INC.
08/01/2022 LHD353013 11/05/2024
AMH HEALTH, LLC
08/01/2022 HMD329485 11/05/2024
ANTHEM HEALTH PLANS OF MAINE INC.
07/15/2020 LHD70566
ANTHEM INSURANCE COMPANIES INC
11/03/2022 LHF125537 11/05/2024
ANTHEM LIFE INSURANCE COMPANY
07/15/2020 LHF70467 04/11/2025
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 01/25/2024
HUMANA INSURANCE COMPANY
11/30/2020 LHF980 01/16/2025
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
07/11/2018 LHF210 05/01/2021
MUTUAL OF OMAHA INSURANCE COMPANY
12/21/2018 LHF84 11/22/2022
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
06/15/2020 LHF58195 09/24/2024
UNITED OF OMAHA LIFE INSURANCE COMPANY
09/04/2018 LHF28 11/22/2022
UNITEDHEALTHCARE INSURANCE COMPANY
06/15/2020 LHF700 09/24/2024
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
06/15/2020 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
11/25/2023 HMF376407 09/24/2024
WELLCARE OF MAINE, INC.
02/23/2024 HMD305081 08/13/2024
WELLCARE PRESCRIPTION INSURANCE INC
02/23/2024 LHF121869 08/13/2024

Authority

Description Issue Date Termination Date Status
HEALTH 12/21/2018 Active
LIFE 07/11/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3545238

Other Addresses

Address Type
FOLKSTON, GA 31537
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: 10/29/2025 01:41:17 AM