black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HARLEIGH J. ELLSWORTH

PRODUCER NON-RESIDENT

License Number:
PRN508371
Status:
First Licensure:
02/20/2025
Cancel Date:
None

Mailing:
OVERLAND PARK, KS 66210
Phone:
+1 (800) 864-8890
Fax:
+1 (913) 354-5538
Email:
contracting@medicareschool.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/20/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
02/28/2025 PCF44
AMH HEALTH PLANS OF MAINE, INC.
02/20/2025 LHD353013
AMH HEALTH, LLC
02/20/2025 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
02/20/2025 LHD70566
ANTHEM INSURANCE COMPANIES INC
02/20/2025 LHF125537
EMPIRE HEALTHCHOICE HMO, INC.
02/20/2025 HMF285382

Authority

Description Issue Date Termination Date Status
HEALTH 02/20/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21460129

Other Addresses

Address Type
10895 GRANDVIEW DR STE 200
OVERLAND PARK, KS 66210-1562
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: 05/14/2025 04:57:23 AM