black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HEALTHPLAN SERVICES INSURANCE AGENCY LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN63150
Status:
First Licensure:
06/29/1999
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
4110 GEORGE RD
TAMPA, FL 33634-7411
Mailing:
PO BOX 30098
TAMPA, FL 33630-3098
Phone:
+1 (813) 289-1000
Email:
hps.entitylicensing@wipro.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/29/1999 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
02/04/2009 HMD45749 06/21/2011
AETNA HEALTH INC
05/18/2012 HMD45749 05/12/2021
AETNA LIFE INSURANCE COMPANY
02/04/2009 LHF621 06/21/2011
AETNA LIFE INSURANCE COMPANY
05/18/2012 LHF621 05/12/2021
AMERICAN GENERAL LIFE INSURANCE COMPANY
06/08/2007 LHF119
AMERICAN GENERAL LIFE INSURANCE COMPANY OF DELAWARE
05/12/2006 LHF77803 12/31/2012
AMERICAN NATIONAL INSURANCE COMPANY
01/05/2016 LHF11 02/07/2019
AMERICAN NETWORK INSURANCE COMPANY
03/27/2007 LHF75 03/31/2009
AMERITAS LIFE INSURANCE CORP
04/23/2001 LHF944
ANTHEM HEALTH PLANS OF MAINE INC.
09/01/2013 LHD70566
ANTHEM LIFE INSURANCE COMPANY
09/01/2013 LHF70467 04/11/2025
ARCADIAN HEALTH PLAN INC
10/10/2012 HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/23/2013 LHF214634 12/01/2016
CIGNA HEALTH AND LIFE INSURANCE COMPANY
10/08/2014 LHF860 10/30/2023
CIGNA HEALTH AND LIFE INSURANCE COMPANY
01/08/2024 LHF860
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
03/08/2013 LHF149 09/26/2014
GENWORTH LIFE INS CO
02/25/2005 LHF46264 04/21/2014
GOLDEN RULE INSURANCE COMPANY
06/11/2015 LHF918
HUMANA INSURANCE COMPANY
09/02/2010 LHF980
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873
LINCOLN BENEFIT LIFE COMPANY
08/16/2001 LHF973 06/22/2007
MEDAMERICA INSURANCE COMPANY
08/05/2003 LHF82113 06/14/2010
METROPOLITAN LIFE INSURANCE COMPANY
08/31/2005 LHF380 05/26/2011
MUTUAL OF OMAHA INSURANCE COMPANY
10/09/1999 LHF84 03/15/2019
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
08/02/2005 PCF527 10/03/2005
NATIONWIDE LIFE INSURANCE COMPANY
08/31/2007 LHF29 01/03/2020
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
04/24/2008 LHF250
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/13/2014 LHF58195 01/20/2021
TIME INSURANCE COMPANY
02/13/2004 LHF276 08/19/2005
TRUSTMARK INSURANCE COMPANY
08/23/2004 LHF132 05/26/2005
TRUSTMARK LIFE INSURANCE COMPANY
04/25/2005 LHF76055 08/02/2017
UNITED OF OMAHA LIFE INSURANCE COMPANY
10/09/1999 LHF28 03/15/2019
UNITEDHEALTHCARE INSURANCE COMPANY
03/07/2013 LHF700 01/20/2021
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/12/2016 LHF983 01/20/2021
UNUM LIFE INSURANCE COMPANY OF AMERICA
06/14/2001 LHD145 03/29/2007
UNUM LIFE INSURANCE COMPANY OF AMERICA
04/24/2008 LHD145
WELLCARE PRESCRIPTION INSURANCE INC
02/19/2019 LHF121869 05/19/2022

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
LOURDES ARIAS
07/25/2005 PRN116261
COLMAN LAWRENCE BRODSKY
01/05/2021 PRN357419
CARLEANE A. CONRY OLCZAK
11/24/2009 PRN172166
TODD REID COWAN
03/31/2017 PRN54501
JULIAN LEE FAEDO JR
09/15/2008 PRN157993
STEPHANIE ANN GERMAK
12/29/2005 PRN122308
JOCELYN LASHAWN GOSA
11/26/2008 PRN160915
MARLENE ELOISE HUBBARD
01/31/2008 PRN149781
STEVEN V. HULSLANDER
06/29/1999 PRN61417
BELKYS FELICIA LLANES
08/23/2007 PRN143804
ERIC C. MCKINNON
02/24/2009 PRN163901
JAMES CAPELL MCLAUCHLIN III
03/07/2019 PRN285174
JAMES PATRICK PHILBIN
05/30/2001 PRN62528
SHERRI A. PLATE
08/03/2011 PRN192566
RICHARD JENNINGS TATUM
06/27/2001 PRN62527
GLENN S. WILSON
04/26/2005 PRN113192

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
HEALTHPLAN SERVICES INSURANCE AGENCY LLC (TAMPA FL)
06/29/1999 BRN32786

Supervised Entity

None.

Responsible Individual

Name License Number
RICHARD JENNINGS TATUM PRN62527

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
953574

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: 01/19/2026 03:05:39 AM