black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TRACY MARIE HAYNES

PRODUCER NON-RESIDENT

License Number:
PRN215518
Status:
First Licensure:
04/17/2013
Cancel Date:
None

Mailing:
CINCINNATI, OH 45209
Phone:
+1 (855) 679-5723
Fax:
+1 (877) 567-6038
Email:
tracy.haynes@anthem.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/17/2013

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
08/01/2015 LHD70566
ANTHEM LIFE INSURANCE COMPANY
08/01/2015 LHF70467 04/11/2025
GOLDEN RULE INSURANCE COMPANY
04/18/2013 LHF918 07/01/2014
INDEPENDENCE AMERICAN INSURANCE COMPANY
03/20/2018 PCF86149 09/21/2023
STANDARD INSURANCE COMPANY
12/12/2024 LHF991
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK
02/17/2017 LHF267 09/26/2019

Authority

Description Issue Date Termination Date Status
HEALTH 04/17/2013 Active
LIFE 04/17/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
12361278

Other Addresses

Address Type
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204-3709
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: 03/01/2026 02:31:00 AM