black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MONIQUE MAZEJKA

PRODUCER NON-RESIDENT

License Number:
PRN216451
Status:
First Licensure:
05/14/2013
Cancel Date:
None

Mailing:
SALEM, NH 03079
Phone:
+1 (603) 244-0016
Email:
mmazejka@insphereis.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/14/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEALTHMARKETS INSURANCE AGENCY INC
05/28/2014 AGN168219

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
09/22/2015 HMD45749 05/12/2021
AETNA LIFE INSURANCE COMPANY
09/22/2015 LHF621 05/12/2021
AETNA LIFE INSURANCE COMPANY
11/19/2023 LHF621
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
06/25/2021 LHF374
AMH HEALTH PLANS OF MAINE, INC.
11/03/2022 LHD353013
AMH HEALTH, LLC
12/30/2020 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
09/01/2017 LHD70566 04/20/2018
ANTHEM HEALTH PLANS OF MAINE INC.
04/20/2018 LHD70566 05/01/2019
ANTHEM HEALTH PLANS OF MAINE INC.
12/30/2020 LHD70566
ANTHEM INSURANCE COMPANIES INC
11/01/2022 LHF125537
ANTHEM LIFE INSURANCE COMPANY
09/01/2017 LHF70467 04/20/2018
ANTHEM LIFE INSURANCE COMPANY
04/20/2018 LHF70467 05/01/2019
ANTHEM LIFE INSURANCE COMPANY
05/01/2019 LHF70467 01/16/2021
ANTHEM LIFE INSURANCE COMPANY
01/17/2021 LHF70467 08/07/2024
ARCADIAN HEALTH PLAN INC
08/14/2015 HMF112421 02/12/2018
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/07/2021 LHF214634 01/25/2024
CHESAPEAKE LIFE INSURANCE COMPANY
05/14/2013 LHF699 02/03/2025
EMPIRE HEALTHCHOICE HMO, INC.
06/12/2024 HMF285382
GOLDEN RULE INSURANCE COMPANY
09/12/2018 LHF918
HCC LIFE INSURANCE COMPANY
12/31/2014 LHF133704 10/03/2016
HUMANA BENEFIT PLAN OF ILLINOIS INC
08/14/2015 LHF202755 01/18/2018
HUMANA INSURANCE COMPANY
08/14/2015 LHF980 02/12/2018
HUMANA INSURANCE COMPANY
01/08/2021 LHF980 07/05/2024
HUMANA INSURANCE COMPANY
08/19/2024 LHF980
HUMANADENTAL INSURANCE COMPANY
08/14/2015 LHF173873 02/12/2018
INDEPENDENCE AMERICAN INSURANCE COMPANY
07/08/2019 PCF86149 09/21/2023
LOYAL AMERICAN LIFE INSURANCE COMPANY
12/26/2024 LHF207
MAINE COMMUNITY HEALTH OPTIONS
11/22/2019 NPD214118
MAINE DENTAL SERVICE CORP
02/24/2020 NPD29330
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.
09/01/2022 HMD261379 06/25/2024
MEGA LIFE AND HEALTH INSURANCE COMPANY
05/14/2013 LHF993 06/20/2014
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
09/07/2021 LHF58195
SILVERSCRIPT INSURANCE COMPANY
11/22/2021 LHF132429
TARO HEALTH PLAN OF MAINE, INC.
09/12/2024 HMD419618
TRANSAMERICA LIFE INSURANCE COMPANY
12/17/2019 LHF726 12/29/2022
UNITEDHEALTHCARE INSURANCE COMPANY
09/07/2021 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/07/2021 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407 01/25/2024
WELLCARE OF MAINE, INC.
11/05/2020 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
02/22/2024 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 05/14/2013 Active
LIFE 05/14/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16398833

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: 05/19/2025 11:57:57 AM