black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MAINE MOUNTAIN INSURANCE

RESIDENT PRODUCER AGENCY

License Number:
AGR434888
Status:
First Licensure:
10/21/2022
Cancel Date:
None
Renewal Date:
12/01/2026

Street Location:
119 CHURCH HL
STRONG, ME 04983-3344
Mailing:
PO BOX 336
STRONG, ME 04983-0336
Phone:
+1 (207) 229-5847
Email:
memountainins@gmail.com

History

License Type Start Date End Date
RESIDENT PRODUCER AGENCY 10/21/2022 12/01/2026

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
01/03/2023 HMD45749
AETNA LIFE INSURANCE COMPANY
01/03/2023 LHF621
ALL SAVERS INSURANCE COMPANY
07/18/2024 LHF233900
AMH HEALTH PLANS OF MAINE, INC.
11/28/2022 LHD353013
AMH HEALTH, LLC
11/28/2022 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
11/28/2022 LHD70566
ANTHEM INSURANCE COMPANIES INC
05/23/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
11/28/2022 LHF70467 04/11/2025
EMPIRE HEALTHCHOICE HMO, INC.
05/23/2023 HMF285382
HUMANA INSURANCE COMPANY
01/26/2023 LHF980 10/04/2023
MAINE DENTAL SERVICE CORP
11/16/2022 NPD29330
RED TREE INSURANCE COMPANY INC
11/16/2022 LHF174438
UNITEDHEALTHCARE INSURANCE COMPANY
07/18/2024 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
07/18/2024 HMF393375

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
TORI B. CHAPMAN
10/21/2022 PRR77162

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
TORI B. CHAPMAN PRR77162

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20508842

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: 05/16/2025 07:11:27 AM