black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL JOHN LARSON

PRODUCER NON-RESIDENT

License Number:
PRN435121
Status:
First Licensure:
10/23/2022
Cancel Date:
None

Mailing:
EAGLE MOUNTAIN, UT 84005
Phone:
+1 (801) 742-8596
Email:
mlarson4@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/23/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
ENROLL365 LLC
10/23/2022 AGN219536

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
11/19/2024 PCF44
ANTHEM HEALTH PLANS OF MAINE INC.
03/25/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
03/25/2024 LHF125537
CIGNA HEALTH AND LIFE INSURANCE COMPANY
07/31/2023 LHF860
EMPIRE HEALTHCHOICE HMO, INC.
03/25/2024 HMF285382 07/01/2025
INSURANCE COMPANY OF NORTH AMERICA
12/01/2025 PCF480
UNITEDHEALTHCARE INSURANCE COMPANY
07/12/2025 LHF700

Authority

Description Issue Date Termination Date Status
HEALTH 10/23/2022 Active
LIFE 10/23/2022 Active

Responsible For

Name License Number
ENROLL365 LLC AGN219536

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5700532

Other Addresses

Address Type
EAGLE MOUNTAIN, UT 84005
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: 01/16/2026 07:16:42 AM