black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACADIA 65+ LLC

RESIDENT PRODUCER AGENCY

License Number:
AGR492948
Status:
First Licensure:
08/24/2024
Cancel Date:
None
Renewal Date:
12/01/2026

Street Location:
22 WILLOW DR
WESTBROOK, ME 04092-3712
Mailing:
22 WILLOW DR
WESTBROOK, ME 04092-3712
Phone:
+1 (207) 951-7431
Fax:
+1 (207) 591-0410
Email:
crt6563@gmail.com

History

License Type Start Date End Date
RESIDENT PRODUCER AGENCY 08/24/2024 12/01/2026

Alias, DBA or Trade Name

Name
MAINE 65+

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/19/2024 HMD45749
AETNA LIFE INSURANCE COMPANY
10/19/2024 LHF621
AMH HEALTH PLANS OF MAINE, INC.
08/25/2024 LHD353013
AMH HEALTH, LLC
08/25/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
08/25/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
08/25/2024 LHF125537
ARCADIAN HEALTH PLAN INC
11/21/2024 HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
01/17/2025 LHF214634
CIGNA HEALTH AND LIFE INSURANCE COMPANY
01/09/2025 LHF860
EMPIRE HEALTHCHOICE HMO, INC.
08/25/2024 HMF285382
HUMANA INSURANCE COMPANY
09/11/2024 LHF980
MAINE DENTAL SERVICE CORP
11/12/2024 NPD29330
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
12/05/2024 LHF183
RED TREE INSURANCE COMPANY INC
11/12/2024 LHF174438
UNITEDHEALTHCARE INSURANCE COMPANY
11/25/2024 LHF700

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHARLES RICHARD TULL
08/24/2024 PRR488462

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CHARLES RICHARD TULL PRR488462

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21299616

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: 05/21/2025 11:45:19 PM