black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DERRICK MUNTZ

PRODUCER NON-RESIDENT

License Number:
PRN395364
Status:
First Licensure:
09/11/2021
Cancel Date:
None

Mailing:
NEW YORK, NY 10003
Phone:
+1 (855) 900-2427
Fax:
+1 (855) 900-2527
Email:
licensing@getchapter.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/11/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
MERCER HEALTH & BENEFITS LLC
11/04/2022 AGN113379

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
09/17/2024 LHD353013
AMH HEALTH, LLC
09/17/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
09/17/2024 LHD70566
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/29/2021 LHF214634 11/04/2022
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
11/11/2023 LHF214634 01/25/2024
FARMERS CASUALTY INSURANCE COMPANY
12/13/2022 PCF895 02/16/2023
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
12/13/2022 PCF267721 02/16/2023
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
12/13/2022 PCF714 02/16/2023
INSURANCE COMPANY OF NORTH AMERICA
08/27/2025 PCF480
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
01/20/2023 PCF27738 04/29/2024
RIVERSTONE INTERNATIONAL INSURANCE, INC.
12/08/2022 PCF60 02/15/2023
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
09/29/2021 LHF58195 11/04/2022
UNITED OF OMAHA LIFE INSURANCE COMPANY
10/03/2025 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
09/29/2021 LHF700 11/04/2022
UNITEDHEALTHCARE INSURANCE COMPANY
04/20/2025 LHF700 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/29/2021 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/21/2022 HMF376407 11/04/2022
UNITEDHEALTHCARE OF WISCONSIN, INC.
11/11/2023 HMF376407 01/25/2024
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/26/2025 HMF376407 01/22/2026
WELLCARE OF MAINE, INC.
11/01/2024 HMD305081

Authority

Description Issue Date Termination Date Status
HEALTH 09/11/2021 Active
LIFE 09/11/2021 Active
PERSONAL LINES 12/07/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17949467

Other Addresses

Address Type
NEW YORK, NY 10003
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: 02/16/2026 06:16:09 AM