black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHARLES DENNIS CROCKETT

PRODUCER RESIDENT

License Number:
PRR210200
Status:
First Licensure:
10/31/2012
Cancel Date:
None
Renewal Date:
07/31/2026

Continuing Education:
Required by 07/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
3
Total Acquired:
26

Mailing:
LINCOLNVILLE, ME 04849
Phone:
+1 (207) 735-3911
Fax:
+1 (207) 763-4116
Email:
dcrockett@partc4me.com

History

License Type Start Date End Date
PRODUCER RESIDENT 10/31/2012 07/31/2026

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
02/26/2020 HMD45749
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
11/07/2025 LHF374
AMH HEALTH PLANS OF MAINE, INC.
08/17/2021 LHD353013
AMH HEALTH, LLC
10/15/2019 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
07/15/2015 LHD70566
ANTHEM INSURANCE COMPANIES INC
06/24/2021 LHF125537 02/18/2026
ANTHEM LIFE INSURANCE COMPANY
10/15/2019 LHF70467 04/11/2025
ARCADIAN HEALTH PLAN INC
11/20/2012 HMF112421 06/09/2015
ARCADIAN HEALTH PLAN INC
02/28/2023 HMF112421
ATHENE ANNUITY AND LIFE COMPANY
08/23/2022 LHF64369
BANKERS LIFE & CASUALTY COMPANY
11/01/2012 LHF127 05/28/2015
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/27/2021 LHF214634 01/23/2026
CENTRAL STATES INDEMNITY CO OF OMAHA
02/02/2017 PCF1026 05/23/2018
COLONIAL PENN LIFE INSURANCE COMPANY
11/01/2012 LHF143 05/28/2015
EMPHESYS INSURANCE COMPANY
10/20/2025 LHF410560
EQUITRUST LIFE INSURANCE COMPANY
05/19/2022 LHF99289
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
11/04/2022 LHF168 03/03/2025
GERBER LIFE INSURANCE COMPANY
05/02/2016 LHF185 06/25/2018
GOLDEN RULE INSURANCE COMPANY
02/18/2019 LHF918 09/29/2021
HUMANA INSURANCE COMPANY
11/16/2012 LHF980 05/20/2014
HUMANA INSURANCE COMPANY
10/19/2023 LHF980
HUMANADENTAL INSURANCE COMPANY
10/19/2023 LHF173873 12/09/2025
ILLINOIS MUTUAL LIFE INSURANCE COMPANY
05/29/2019 LHF80890 05/07/2021
LOYAL AMERICAN LIFE INSURANCE COMPANY
10/11/2017 LHF207 10/16/2017
LOYAL AMERICAN LIFE INSURANCE COMPANY
10/24/2017 LHF207 10/29/2019
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.
05/13/2021 HMD261379
MODERN WOODMEN OF AMERICA
06/08/2015 FRF29322 02/06/2024
MUTUAL OF OMAHA INSURANCE COMPANY
02/09/2018 LHF84 12/26/2018
MUTUAL OF OMAHA INSURANCE COMPANY
10/02/2025 LHF84
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
09/18/2015 LHF84860 07/07/2016
OMAHA HEALTH INSURANCE COMPANY
11/02/2021 LHF62907 12/27/2024
PROTECTIVE LIFE INSURANCE COMPANY
04/11/2023 LHF888 11/15/2025
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
09/24/2019 LHF58195
SILVERSCRIPT INSURANCE COMPANY
11/01/2021 LHF132429
UNITED AMERICAN INSURANCE COMPANY
01/23/2026 LHF871
UNITED OF OMAHA LIFE INSURANCE COMPANY
10/28/2021 LHF28 12/23/2024
UNITED OF OMAHA LIFE INSURANCE COMPANY
09/28/2025 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
02/07/2019 LHF700 08/27/2021
UNITEDHEALTHCARE INSURANCE COMPANY
09/02/2021 LHF700 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY
10/05/2025 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/24/2019 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407
WELLCARE OF MAINE, INC.
10/24/2025 HMD305081

Authority

Description Issue Date Termination Date Status
HEALTH 10/31/2012 Active
LIFE 10/31/2012 Active
VARIABLE CONTRACTS 02/20/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16818882

Other Addresses

Address Type
82 CAMDEN ST
ROCKLAND, ME 04841-2408
Office

CE Courses

Date Description Course Number Content Areas
03/19/2026 OVERVIEW OF LIFE & HEALTH INSURANCE 20885
13
credits in General Education
Total:
13
03/18/2026 LIFE, HEALTH AND CONTRACTS ME1842
10
credits in General Education
Total:
10
03/18/2026 ETHICAL INSURANCE PRODUCER 23432
3
credits in Ethics
Total:
3

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: 04/09/2026 12:18:08 PM