black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHARAYAH ROXANA DUBORD

PRODUCER NON-RESIDENT

License Number:
PRN474862
Status:
First Licensure:
01/25/2024
Cancel Date:
None

Mailing:
AUSTIN, TX 78717
Phone:
+1 (888) 407-7044
Fax:
+1 (916) 608-4696
Email:
licensing@ehealth.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/25/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
EHEALTHINSURANCE SERVICES INC
01/26/2024 AGN68778

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
01/13/2025 PCF44
AMH HEALTH PLANS OF MAINE, INC.
01/25/2024 LHD353013
AMH HEALTH, LLC
01/25/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
01/25/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
01/25/2024 LHF125537
EMPIRE HEALTHCHOICE HMO, INC.
01/25/2024 HMF285382
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
05/02/2025 LHF183
MUTUAL OF OMAHA INSURANCE COMPANY
03/11/2025 LHF84
UNITED OF OMAHA LIFE INSURANCE COMPANY
03/03/2025 LHF28
VISION SERVICE PLAN INSURANCE COMPANY
01/17/2025 LHF47545

Authority

Description Issue Date Termination Date Status
HEALTH 01/25/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20623493

Other Addresses

Address Type
AUSTIN, TX 78717
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: 06/22/2025 07:36:49 PM