black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COVENTRY HEALTH AND LIFE INSURANCE COMPANY

INSURANCE COMPANY

License Number:
LHF155539
Status:
First Licensure:
07/02/2008
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
81973

Street Location:
509 PROGESS DRIVE
SUITE 117
LINTHICUM, MD 21090
Mailing:
ATTN SERENA VOLOVSKI
PO BOX 818048
CLEVELAND, OH 44181-8048
Phone:
+1 (202) 415-1696
Fax:
+1 (301) 581-5562
Email:
tjrolwing@aetna.com

History

License Type Start Date End Date
INSURANCE COMPANY 07/02/2008 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
LAWRENCE E. BLAKE JR
10/03/2013 PRN33744
ANDREA L. CLIFF
07/09/2013 PRN197882
THOMAS F. EARTH
07/02/2013 PRN196589
ENROLL365 LLC
09/27/2013 AGN219536
F A PEABODY COMPANY
10/03/2013 AGR3350
JOHN G. GIALAMAS
07/01/2013 PRN173071
VIRGINIA SITTEL HART
01/21/2014 PRN206128
DOUGLAS B. HORTNESS
06/20/2013 PRN150468
GEORGE KALOGEROPOULOS
02/20/2014 PRN228052
BENJAMIN ARMSTRONG KELLER
03/04/2014 PRN209427
MAX LEIGH LYNDS
10/03/2013 PRR24016
VITO POTENZIERI
03/07/2014 PRN229343
MAGGIE E. RIENBOLT
07/01/2013 PRN210875
SARA C. SCHULTE
07/09/2013 PRN172569
ANGELA JEAN WILKINSON
10/03/2013 PRR119722

Authority

Description Issue Date Termination Date Status
HEALTH 07/02/2008 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT DIANA MARTINEZ
DIANA MARTINEZ
PO BOX 1167
BLUE BELL, PA 19422-0967
Phone: +1 (866) 511-2863
Email: martinezd@cvshealth.com
SERVICE OF PROCESS NATIONAL REGISTERED AGENTS, INC
3 CHASE AVE
AUGUSTA, ME 04330-4525
Phone: +1 (888) 724-9870
Email: sop@agilelegal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

Other Phone Numbers

Phone Number Type
+1 (800) 843-7421 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: 05/24/2025 01:48:38 PM