black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOUGLAS BRYAN CARLSON

PRODUCER NON-RESIDENT

License Number:
PRN140272
Status:
First Licensure:
05/31/2007
Cancel Date:
None

Mailing:
NORTH READING, MA 01864
Phone:
+1 (781) 587-1000
Email:
dougcarlson@customhealth.us

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/31/2007

Agency

Name Issue Date License Number Expiration Date Cancel Date
D & E CARLSON ASSOCIATES, INC.
07/19/2024 AGN489428
HEALTHMARKETS INSURANCE AGENCY INC
02/19/2010 AGN168219

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
11/12/2021 HMD45749
AETNA LIFE INSURANCE COMPANY
11/20/2023 LHF621
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
12/06/2021 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
08/28/2023 LHF374
AMH HEALTH PLANS OF MAINE, INC.
11/03/2022 LHD353013
AMH HEALTH, LLC
09/15/2019 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
01/15/2015 LHD70566
ANTHEM INSURANCE COMPANIES INC
11/01/2022 LHF125537
ANTHEM LIFE INSURANCE COMPANY
01/15/2015 LHF70467 08/07/2024
ARCADIAN HEALTH PLAN INC
10/12/2012 HMF112421 05/20/2014
ARCADIAN HEALTH PLAN INC
12/07/2023 HMF112421 07/09/2024
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/26/2021 LHF214634
CHESAPEAKE LIFE INSURANCE COMPANY
08/01/2007 LHF699 08/08/2024
CIGNA HEALTH AND LIFE INSURANCE COMPANY
11/21/2022 LHF860
EMPIRE HEALTHCHOICE HMO, INC.
06/20/2024 HMF285382
EVEREST REINSURANCE COMPANY
10/10/2017 PCF757 03/16/2021
GOLDEN RULE INSURANCE COMPANY
03/21/2019 LHF918
GREAT WESTERN INSURANCE COMPANY
06/30/2022 LHF83790 01/23/2024
HCC LIFE INSURANCE COMPANY
02/24/2015 LHF133704 10/03/2016
HUMANA INSURANCE COMPANY
10/12/2012 LHF980 05/20/2014
HUMANA INSURANCE COMPANY
10/20/2021 LHF980 07/09/2024
HUMANA INSURANCE COMPANY
11/06/2024 LHF980
INDEPENDENCE AMERICAN INSURANCE COMPANY
03/28/2019 PCF86149 09/21/2023
LOYAL AMERICAN LIFE INSURANCE COMPANY
11/04/2021 LHF207
MAINE COMMUNITY HEALTH OPTIONS
12/11/2014 NPD214118
MAINE DENTAL SERVICE CORP
09/20/2022 NPD29330
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.
07/24/2022 HMD261379
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
11/14/2024 LHF183
MEGA LIFE AND HEALTH INSURANCE COMPANY
05/31/2007 LHF993 09/01/2011
MEGA LIFE AND HEALTH INSURANCE COMPANY
01/23/2013 LHF993 06/19/2014
MINNESOTA LIFE INSURANCE COMPANY
04/22/2019 LHF216 07/12/2024
MINNESOTA LIFE INSURANCE COMPANY
12/06/2024 LHF216
NATIONAL HEALTH INSURANCE COMPANY
09/23/2024 LHF917
RED TREE INSURANCE COMPANY INC
09/20/2022 LHF174438
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/06/2021 LHF58195
SILVERSCRIPT INSURANCE COMPANY
11/26/2022 LHF132429
TARO HEALTH PLAN OF MAINE, INC.
09/09/2024 HMD419618
TRANSAMERICA LIFE INSURANCE COMPANY
05/29/2014 LHF726 04/22/2025
UNITED OF OMAHA LIFE INSURANCE COMPANY
02/19/2020 LHF28 09/22/2022
UNITED OF OMAHA LIFE INSURANCE COMPANY
12/30/2022 LHF28 11/22/2023
UNITEDHEALTHCARE INSURANCE COMPANY
10/30/2009 LHF700 05/09/2013
UNITEDHEALTHCARE INSURANCE COMPANY
05/10/2013 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
07/06/2021 LHF983 12/28/2021
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407
VISION SERVICE PLAN INSURANCE COMPANY
03/25/2025 LHF47545
WELLCARE OF MAINE, INC.
12/20/2021 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
12/22/2023 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 05/31/2007 Active
LIFE 05/31/2007 Active

Responsible For

Name License Number
D & E CARLSON ASSOCIATES, INC. AGN489428

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7359519

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: 05/14/2025 06:20:08 PM