black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOMINIC C. PATRICK

PRODUCER NON-RESIDENT

License Number:
PRN418447
Status:
First Licensure:
05/13/2022
Cancel Date:
None

Mailing:
LAUDERHILL, FL 33313
Phone:
+1 (866) 485-1646
Email:
dpatrick@medigaplife.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/13/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
12/08/2025 AGN91433

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
04/03/2026 HMD45749
AMH HEALTH PLANS OF MAINE, INC.
03/22/2023 LHD353013
AMH HEALTH, LLC
05/13/2022 HMD329485 07/13/2022
AMH HEALTH, LLC
03/22/2023 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
05/13/2022 LHD70566 07/13/2022
ANTHEM HEALTH PLANS OF MAINE INC.
03/22/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
05/13/2022 LHF125537 07/13/2022
ANTHEM INSURANCE COMPANIES INC
03/22/2023 LHF125537 02/18/2026
CIGNA HEALTH AND LIFE INSURANCE COMPANY
08/09/2022 LHF860 09/02/2022
CIGNA HEALTH AND LIFE INSURANCE COMPANY
09/08/2022 LHF860 03/15/2023
EMPIRE HEALTHCHOICE HMO, INC.
05/13/2022 HMF285382 07/13/2022
EMPIRE HEALTHCHOICE HMO, INC.
03/22/2023 HMF285382 07/01/2025
GOLDEN RULE INSURANCE COMPANY
09/27/2024 LHF918

Authority

Description Issue Date Termination Date Status
HEALTH 05/13/2022 Active
LIFE 05/13/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20034054

Other Addresses

Address Type
1900 NW CORPORATE BLVD STE 300W
BOCA RATON, FL 33431-7340
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: 06/16/2026 01:32:18 PM