black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MYSENIORHEALTHPLAN COM INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN296598
Status:
First Licensure:
10/21/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
27250 N 64TH ST
SCOTTSDALE, AZ 85266-8838
Mailing:
875 PROSPECT ST STE 201
LA JOLLA, CA 92037-4264
Phone:
+1 (877) 255-6273
Fax:
+1 (866) 436-4713
Email:
info@myseniorhealthplan.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/21/2017 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
07/02/2025 PCF44
AETNA HEALTH INC
07/04/2022 HMD45749
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
04/06/2022 LHF374
AMH HEALTH PLANS OF MAINE, INC.
01/14/2024 LHD353013
AMH HEALTH, LLC
10/01/2019 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
09/15/2019 LHD70566
ANTHEM INSURANCE COMPANIES INC
01/14/2024 LHF125537
ARCADIAN HEALTH PLAN INC
12/04/2017 HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634
EMPIRE HEALTHCHOICE HMO, INC.
01/14/2024 HMF285382 07/01/2025
HUMANA INSURANCE COMPANY
12/04/2017 LHF980
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
10/21/2017 LHF58195
UNITEDHEALTHCARE INSURANCE COMPANY
10/21/2017 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
10/21/2017 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407
WELLCARE OF MAINE, INC.
04/06/2022 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
12/13/2018 LHF121869

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
TAMARA LEE BLASI
10/21/2017 PRN296020
STEPHENY CHANDLER
08/19/2022 PRN400733
EZRA CHAVIERS MENDIOLA
11/10/2017 PRN297930
JACKELYN Q. NUDO
05/03/2018 PRN308702
REYNA CHRISTINA ZAVALA
11/09/2017 PRN297879

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
TAMARA LEE BLASI PRN296020

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
13588533

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: 10/18/2025 03:12:59 PM