black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL THOMAS WEYMOUTH

PRODUCER RESIDENT

License Number:
PRR360538
Status:
First Licensure:
09/07/2020
Cancel Date:
None
Renewal Date:
10/31/2026

Continuing Education:
Required by 10/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
BANGOR, ME 04401
Phone:
+1 (207) 907-0939
Email:
samtweymouth@gmail.com

History

License Type Start Date End Date
PRODUCER RESIDENT 09/07/2020 10/31/2026

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
11/19/2023 HMD45749
AMH HEALTH PLANS OF MAINE, INC.
04/06/2022 LHD353013
AMH HEALTH, LLC
04/06/2022 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
04/06/2022 LHD70566
ANTHEM INSURANCE COMPANIES INC
05/03/2022 LHF125537
ANTHEM LIFE INSURANCE COMPANY
04/06/2022 LHF70467 04/11/2025
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/16/2022 LHF214634 01/25/2024
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/07/2024 LHF214634
EMPIRE HEALTHCHOICE HMO, INC.
05/03/2022 HMF285382
HUMANA INSURANCE COMPANY
09/01/2023 LHF980
MAINE COMMUNITY HEALTH OPTIONS
05/26/2022 NPD214118
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.
10/21/2020 HMD261379 03/17/2023
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/16/2022 LHF58195
TARO HEALTH PLAN OF MAINE, INC.
10/21/2022 HMD419618
UNITEDHEALTHCARE INSURANCE COMPANY
07/16/2022 LHF700
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/21/2022 HMF376407
WELLCARE OF MAINE, INC.
10/01/2024 HMD305081

Authority

Description Issue Date Termination Date Status
HEALTH 09/07/2020 Active
LIFE 09/07/2020 Active

License/Disciplinary Action

None.

TEMPORARY RESIDENT

License Number:
TMP354989
First Licensure:
06/10/2020
Cancel Date:
09/07/2020
Renewal Date:
09/07/2020

Mailing:
BANGOR, ME 04401
Phone:
+1 (207) 907-0939
Email:
samtweymouth@gmail.com

History

License Type Start Date End Date
TEMPORARY RESIDENT 06/10/2020 09/06/2020

Agency

None.

Employer

None.

Authority

Description Issue Date Termination Date Status
HEALTH 06/10/2020 09/07/2020 Terminated
LIFE 06/10/2020 09/07/2020 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19540321

Other Addresses

Address Type
BANGOR, ME 04401
Office

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: 05/14/2025 05:21:56 PM