black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EZRA CHAVIERS MENDIOLA

PRODUCER NON-RESIDENT

License Number:
PRN297930
Status:
First Licensure:
11/10/2017
Cancel Date:
None

Mailing:
LA JOLLA, CA 92037
Phone:
+1 (877) 255-6273
Fax:
+1 (866) 436-4713
Email:
ezramendiola@myseniorhealthplan.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/10/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
MYSENIORHEALTHPLAN COM INC
11/10/2017 AGN296598

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
07/01/2018 LHD70566
ARCADIAN HEALTH PLAN INC
08/06/2018 HMF112421 12/18/2018
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 01/25/2024
ELIXIR INSURANCE COMPANY
04/12/2019 LHF191350 01/06/2020
GOLDEN RULE INSURANCE COMPANY
06/11/2018 LHF918
HUMANA INSURANCE COMPANY
08/06/2018 LHF980 12/18/2018
INSURANCE COMPANY OF NORTH AMERICA
07/29/2025 PCF480
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/21/2018 LHF58195 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY
02/21/2018 LHF700 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
02/21/2018 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407 01/25/2024

Authority

Description Issue Date Termination Date Status
HEALTH 11/10/2017 Active
LIFE 11/10/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17027522

Other Addresses

Address Type
LA JOLLA, CA 92037
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: 12/01/2025 04:24:52 AM