black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROGER BASS

PRODUCER NON-RESIDENT

License Number:
PRN194325
Status:
First Licensure:
09/16/2011
Cancel Date:
None

Mailing:
HOLLYWOOD, AL 35752
Phone:
+1 (256) 608-0236 x0000
Email:
rogerbass62@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/16/2011

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
04/14/2024 LHD353013
AMH HEALTH, LLC
04/14/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
10/08/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
10/08/2023 LHF125537
BOSTON MUTUAL LIFE INSURANCE COMPANY
01/26/2018 LHF135
CONTINENTAL AMERICAN INSURANCE COMPANY
12/28/2011 LHF80843 06/18/2024
EMPIRE HEALTHCHOICE HMO, INC.
10/08/2023 HMF285382
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
09/18/2019 LHF193
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/18/2011 LHF250 07/29/2021
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/01/2021 LHF250 07/25/2024
RELIASTAR LIFE INSURANCE COMPANY
10/04/2011 LHF22 03/01/2021
RELIASTAR LIFE INSURANCE COMPANY
04/06/2021 LHF22
STARMOUNT LIFE INSURANCE COMPANY
02/11/2019 LHD131525 07/29/2021
STARMOUNT LIFE INSURANCE COMPANY
10/01/2021 LHD131525 07/25/2024
UNUM INSURANCE COMPANY
02/11/2019 LHD241 07/29/2021
UNUM INSURANCE COMPANY
10/01/2021 LHD241 07/25/2024
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/18/2011 LHD145 07/29/2021
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/01/2021 LHD145 07/25/2024

Authority

Description Issue Date Termination Date Status
HEALTH 09/16/2011 Active
LIFE 09/16/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15710941

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: 05/13/2025 03:19:45 PM