black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACEK A. BELKA

PRODUCER RESIDENT

License Number:
PRR150778
Status:
First Licensure:
02/29/2008
Cancel Date:
None
Renewal Date:
03/31/2026

Continuing Education:
Required by 03/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
HOULTON, ME 04730
Phone:
+1 (207) 538-8010
Email:
jackpol@hotmail.com

History

License Type Start Date End Date
PRODUCER RESIDENT 02/29/2008 03/31/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
F A PEABODY COMPANY
11/01/2018 AGR3350 12/21/2018

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL LIFE INSURANCE COMPANY
10/12/2020 LHF119 11/02/2020
AMERICAN NATIONAL INSURANCE COMPANY
09/22/2017 LHF11 03/15/2024
AMERITAS LIFE INSURANCE CORP
10/05/2017 LHF944 04/27/2021
ANTHEM HEALTH PLANS OF MAINE INC.
10/15/2018 LHD70566
ANTHEM LIFE INSURANCE COMPANY
09/30/2021 LHF70467 03/14/2025
ARCADIAN HEALTH PLAN INC
10/19/2018 HMF112421 03/02/2020
ASSURITY LIFE INSURANCE COMPANY
01/19/2014 LHF179
CHESAPEAKE LIFE INSURANCE COMPANY
11/16/2020 LHF699 02/19/2025
CIGNA HEALTH AND LIFE INSURANCE COMPANY
02/11/2021 LHF860
COMBINED INSURANCE COMPANY OF AMERICA
03/03/2008 LHF144 07/22/2016
COMBINED INSURANCE COMPANY OF AMERICA
02/11/2019 LHF144 10/11/2021
COMBINED INSURANCE COMPANY OF AMERICA
02/21/2023 LHF144
HCC LIFE INSURANCE COMPANY
10/23/2015 LHF133704 10/03/2016
HUMANA INSURANCE COMPANY
10/18/2018 LHF980 04/07/2020
LIFE INSURANCE COMPANY OF THE SOUTHWEST
01/30/2014 LHF901
MAINE COMMUNITY HEALTH OPTIONS
11/01/2014 NPD214118 02/07/2022
NATIONAL HEALTH INSURANCE COMPANY
12/10/2015 LHF917
NORTH RIVER INSURANCE COMPANY
04/15/2021 PCF698
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY
03/19/2020 LHF789
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
01/10/2018 LHF58195 06/25/2019
TIME INSURANCE COMPANY
04/06/2012 LHF276 02/27/2020
TRANSAMERICA LIFE INSURANCE COMPANY
08/22/2012 LHF726 02/12/2020
TRANSAMERICA PREMIER LIFE INSURANCE COMPANY
10/01/2014 LHF825 02/12/2020
UNITEDHEALTHCARE INSURANCE COMPANY
01/10/2018 LHF700 06/25/2019
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
01/10/2018 LHF983 06/25/2019
WASHINGTON NATIONAL INSURANCE COMPANY
02/02/2021 LHF294
WELLCARE PRESCRIPTION INSURANCE INC
11/16/2018 LHF121869
WESTERN RESERVE LIFE ASSURANCE COMPANY OF OHIO
08/06/2012 LHF851 10/01/2014

Authority

Description Issue Date Termination Date Status
HEALTH 02/29/2008 Active
LIFE 05/12/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8322785

CE Courses

None.

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 11:32:29 PM