black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACKIE GREEN

PRODUCER NON-RESIDENT

License Number:
PRN394923
Status:
First Licensure:
09/09/2021
Cancel Date:
None

Mailing:
CHARLOTTE, NC 28217
Phone:
+1 (813) 984-3200
Fax:
+1 (813) 984-3201
Email:
jackie.green@baldwin.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/09/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
GOHEALTH LLC
08/29/2023 AGN159145 01/29/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
02/12/2022 HMD45749
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
08/23/2023 LHF374 08/28/2024
AMH HEALTH PLANS OF MAINE, INC.
09/09/2021 LHD353013 06/15/2023
AMH HEALTH PLANS OF MAINE, INC.
07/26/2023 LHD353013 08/06/2024
AMH HEALTH, LLC
09/09/2021 HMD329485 06/15/2023
AMH HEALTH, LLC
07/26/2023 HMD329485 08/06/2024
ANTHEM HEALTH PLANS OF MAINE INC.
09/09/2021 LHD70566 06/15/2023
ANTHEM HEALTH PLANS OF MAINE INC.
07/26/2023 LHD70566 08/06/2024
ANTHEM INSURANCE COMPANIES INC
07/26/2023 LHF125537 08/06/2024
ARCADIAN HEALTH PLAN INC
10/15/2021 HMF112421 12/29/2022
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/09/2021 LHF214634 11/09/2022
THE CINCINNATI CASUALTY COMPANY
05/22/2025 PCF137248
THE CINCINNATI INSURANCE COMPANY
05/22/2025 PCF989
EMPIRE HEALTHCHOICE HMO, INC.
07/26/2023 HMF285382 08/06/2024
HUMANA INSURANCE COMPANY
10/18/2021 LHF980 12/29/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
04/24/2025 PCF32
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
09/09/2021 LHF58195 11/09/2022
UNITEDHEALTHCARE INSURANCE COMPANY
09/09/2021 LHF700 11/09/2022
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/09/2021 LHF983 12/28/2021
WELLCARE OF MAINE, INC.
08/23/2023 HMD305081 08/28/2024
WELLCARE PRESCRIPTION INSURANCE INC
08/23/2023 LHF121869 08/28/2024

Authority

Description Issue Date Termination Date Status
HEALTH 09/09/2021 Active
PERSONAL LINES 04/23/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19941437

Other Addresses

Address Type
7910 MICROSOFT WAY
CHARLOTTE, NC 28273-8110
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 04:15:07 AM