black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK HERMAN DOCKENDORFF

PRODUCER NON-RESIDENT

License Number:
PRN245972
Status:
First Licensure:
02/06/2015
Cancel Date:
None

Mailing:
CINCINNATI, OH 45209
Phone:
+1 (866) 561-5723
Fax:
+1 (877) 567-6038
Email:
mark.dockendorff@anthem.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/06/2015

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
10/09/2020 LHD353013
AMH HEALTH, LLC
08/11/2019 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
02/06/2015 LHD70566
ANTHEM INSURANCE COMPANIES INC
09/01/2021 LHF125537
ANTHEM LIFE INSURANCE COMPANY
02/06/2015 LHF70467 04/03/2025
EMPIRE HEALTHCHOICE HMO, INC.
06/24/2021 HMF285382
STANDARD INSURANCE COMPANY
12/16/2024 LHF991

Authority

Description Issue Date Termination Date Status
HEALTH 02/06/2015 Active
LIFE 02/06/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7664754

Other Addresses

Address Type
CINCINNATI, OH 45209
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: 06/09/2025 04:31:27 PM