black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACLYN A. STOREY

PRODUCER RESIDENT

License Number:
PRR347141
Status:
First Licensure:
01/09/2020
Cancel Date:
None
Renewal Date:
05/31/2025

Continuing Education:
Required by 05/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
8

Mailing:
CUMBERLAND, ME 04021
Phone:
+1 (207) 523-8085
Fax:
+1 (207) 523-8099
Email:
jaclynstorey@unitedinsurance.net

History

License Type Start Date End Date
PRODUCER RESIDENT 01/09/2020 05/31/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
UIG INC
01/09/2020 AGR123009

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
12/05/2021 HMD45749
AMERICAN GENERAL LIFE INSURANCE COMPANY
11/16/2020 LHF119 01/13/2022
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
12/06/2021 LHF374 08/25/2023
AMH HEALTH PLANS OF MAINE, INC.
09/09/2021 LHD353013
AMH HEALTH, LLC
10/21/2020 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
10/21/2020 LHD70566
ANTHEM INSURANCE COMPANIES INC
09/09/2021 LHF125537
ANTHEM LIFE INSURANCE COMPANY
10/21/2020 LHF70467 12/13/2020
BANNER LIFE INSURANCE COMPANY
06/18/2020 LHF50047
EMPIRE HEALTHCHOICE HMO, INC.
09/09/2021 HMF285382
HUMANA INSURANCE COMPANY
12/07/2021 LHF980 07/31/2023
MAINE DENTAL SERVICE CORP
09/29/2022 NPD29330
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.
08/11/2021 HMD261379 04/24/2023
MUTUAL OF OMAHA INSURANCE COMPANY
01/19/2022 LHF84 11/15/2022
MUTUAL OF OMAHA INSURANCE COMPANY
09/19/2023 LHF84 08/22/2024
RED TREE INSURANCE COMPANY INC
09/29/2022 LHF174438
THE SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS
07/29/2020 LHF50668
SILVERSCRIPT INSURANCE COMPANY
12/05/2021 LHF132429
UNITED OF OMAHA LIFE INSURANCE COMPANY
08/31/2020 LHF28 07/22/2021
UNITED OF OMAHA LIFE INSURANCE COMPANY
08/11/2021 LHF28 07/22/2022
WELLCARE PRESCRIPTION INSURANCE INC
12/06/2021 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 01/09/2020 Active
LIFE 01/09/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19392074

Other Addresses

Address Type
470 FOREST AVE
PORTLAND, ME 04101-2009
Office

CE Courses

Date Description Course Number Content Areas
08/24/2023 LONG TERM CARE: PROGRAMS, POLICIES AND PARTNERSHIPS ME15068
8
credits in Long Term Care
Total:
8

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: 05/24/2025 10:05:42 PM