black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMAC SENIOR RESOURCES NETWORK

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN186856
Status:
First Licensure:
02/02/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2130 TALLY RD STE 100
LEESBURG, FL 34748-3350
Mailing:
5 ORVILLE DR STE 400
BOHEMIA, NY 11716-2535
Phone:
+1 (888) 262-2006 x1002
Fax:
+1 (800) 799-8318
Email:
darnold@amac.us

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/02/2011 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
11/22/2024 PCF44
AETNA HEALTH INC
02/09/2012 HMD45749
AETNA LIFE INSURANCE COMPANY
02/09/2012 LHF621
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
02/15/2016 LHF645 04/01/2018
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/01/2018 LHF306110 04/11/2025
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
04/07/2022 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
08/28/2023 LHF374
AMERITAS LIFE INSURANCE CORP
11/25/2014 LHF944
AMH HEALTH PLANS OF MAINE, INC.
11/23/2022 LHD353013
AMH HEALTH, LLC
10/15/2019 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
12/01/2011 LHD70566
ANTHEM INSURANCE COMPANIES INC
12/01/2011 LHF125537 10/16/2012
ANTHEM INSURANCE COMPANIES INC
11/23/2022 LHF125537
ARCADIAN HEALTH PLAN INC
10/10/2012 HMF112421 10/04/2019
CIGNA HEALTH AND LIFE INSURANCE COMPANY
11/23/2022 LHF860
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
08/01/2013 LHF842
HUMANA INSURANCE COMPANY
03/29/2011 LHF980 09/01/2022
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873 10/04/2019
INDEPENDENCE AMERICAN INSURANCE COMPANY
04/29/2019 PCF86149 09/21/2023
LOYAL AMERICAN LIFE INSURANCE COMPANY
04/08/2017 LHF207 10/30/2017
LOYAL AMERICAN LIFE INSURANCE COMPANY
11/14/2017 LHF207 12/18/2018
LOYAL AMERICAN LIFE INSURANCE COMPANY
02/28/2019 LHF207 10/30/2023
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
11/18/2024 LHF183
MEDICO INSURANCE COMPANY
05/28/2015 LHF520 10/23/2017
SILVERSCRIPT INSURANCE COMPANY
03/13/2015 LHF132429
STARMOUNT LIFE INSURANCE COMPANY
05/30/2017 LHD131525 07/24/2019
UNITED AMERICAN INSURANCE COMPANY
11/28/2017 LHF871
WELLCARE OF MAINE, INC.
04/07/2022 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
12/13/2018 LHF121869

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
WILLIAM TERPENNY
10/01/2011 PRN195213

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
REBECCA R. KEIFFERT PRN187148

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16123429

Other Phone Numbers

Phone Number Type
+1 (888) 262-2006 x1002 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: 05/14/2025 05:30:59 PM