black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ENROLL365 LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN219536
Status:
Active
First Licensure:
08/02/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2200 S MAIN ST STE 600
SOUTH SALT LAKE, UT 84115-2658
Mailing:
2200 S MAIN ST STE 600
SOUTH SALT LAKE, UT 84115-2658
Phone:
+1 (855) 880-8777
Fax:
+1 (801) 206-2273
Email:
ana.chandler@enroll365.org

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/02/2013 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 11/19/2024 PCF44
AETNA HEALTH INC
 09/27/2013 HMD45749 05/12/2021
AETNA LIFE INSURANCE COMPANY
 09/27/2013 LHF621 05/12/2021
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 04/14/2022 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 08/28/2023 LHF374
ANTHEM HEALTH PLANS OF MAINE INC.
 10/15/2013 LHD70566
ANTHEM INSURANCE COMPANIES INC
 03/24/2024 LHF125537
ANTHEM LIFE INSURANCE COMPANY
 10/15/2013 LHF70467 08/07/2024
ARCADIAN HEALTH PLAN INC
 10/01/2013 HMF112421 05/04/2015
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 10/02/2013 LHF214634 01/11/2016
CHESAPEAKE LIFE INSURANCE COMPANY
 08/31/2020 LHF699 08/27/2024
CIGNA HEALTH AND LIFE INSURANCE COMPANY
 11/05/2013 LHF860 09/12/2016
CIGNA HEALTH AND LIFE INSURANCE COMPANY
 09/12/2016 LHF860
COMBINED INSURANCE COMPANY OF AMERICA
 01/14/2015 LHF144 02/20/2019
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
 11/05/2013 LHF149 05/16/2014
COVENTRY HEALTH AND LIFE INSURANCE COMPANY
 09/27/2013 LHF155539
EMPIRE HEALTHCHOICE HMO, INC.
 03/24/2024 HMF285382 07/01/2025
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
 10/08/2013 LHF842 05/12/2021
HUMANA INSURANCE COMPANY
 10/01/2013 LHF980 05/04/2015
HUMANADENTAL INSURANCE COMPANY
 11/11/2013 LHF173873 05/04/2015
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 02/13/2014 LHF58195 01/11/2016
UNITEDHEALTHCARE INSURANCE COMPANY
 10/02/2013 LHF700 01/11/2016
UNITEDHEALTHCARE INSURANCE COMPANY
 01/15/2016 LHF700 06/01/2017
UNITEDHEALTHCARE INSURANCE COMPANY
 07/12/2025 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
 09/15/2016 LHF983 06/14/2017
WELLCARE OF MAINE, INC.
 04/14/2022 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
 04/14/2022 LHF121869

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
MARK J. FARNSWORTH
 10/23/2022 PRN203021
MICHAEL JOHN LARSON
 10/23/2022 PRN435121
CHLOE MAY POTTER
 08/31/2023 PRN461795
AARON A. QUARNBERG
 03/20/2017 PRN193361
BENJAMIN DOUGLAS SMITH
 10/24/2022 PRN435125

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
MICHAEL JOHN LARSON PRN435121

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17002121

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: 11/12/2025 07:22:30 AM