black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN MATTHEW FALLOT

PRODUCER NON-RESIDENT

License Number:
PRN215465
Status:
First Licensure:
04/16/2013
Cancel Date:
None

Mailing:
WATERFORD, MI 48329
Phone:
+1 (248) 707-1966
Email:
john@seniorenrollmentsolutions.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/16/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
SENIOR ENROLLMENT SOLUTIONS L.L.C.
04/20/2018 AGN307948

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
09/04/2014 HMD45749
AETNA LIFE INSURANCE COMPANY
09/04/2014 LHF621
AMH HEALTH PLANS OF MAINE, INC.
10/15/2020 LHD353013
ANTHEM HEALTH PLANS OF MAINE INC.
12/15/2013 LHD70566
ARCADIAN HEALTH PLAN INC
05/10/2013 HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/20/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/26/2021 LHF214634
CENTRAL STATES INDEMNITY CO OF OMAHA
11/28/2016 PCF1026 12/11/2018
ELIXIR INSURANCE COMPANY
10/07/2015 LHF191350 10/01/2020
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
12/04/2013 LHF842
HCC LIFE INSURANCE COMPANY
02/15/2016 LHF133704 06/12/2017
HUMANA BENEFIT PLAN OF ILLINOIS INC
10/13/2014 LHF202755 01/18/2018
HUMANA INSURANCE COMPANY
05/10/2013 LHF980
HUMANADENTAL INSURANCE COMPANY
05/10/2013 LHF173873
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/13/2014 LHF58195
SILVERSCRIPT INSURANCE COMPANY
10/03/2014 LHF132429
UNITEDHEALTHCARE INSURANCE COMPANY
04/16/2013 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/15/2016 LHF983 12/28/2021
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407
WELLCARE PRESCRIPTION INSURANCE INC
02/16/2018 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 04/16/2013 Active

Responsible For

Name License Number
SENIOR ENROLLMENT SOLUTIONS L.L.C. AGN307948

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8622188

Other Addresses

Address Type
WATERFORD, MI 48329
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: 06/19/2025 02:16:23 AM