black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COMMON CENSUS INC

RESIDENT PRODUCER AGENCY

License Number:
AGR259642
Status:
First Licensure:
10/31/2015
Cancel Date:
None
Renewal Date:
12/01/2026

Street Location:
90 BRIDGE ST STE 105
WESTBROOK, ME 04092-2887
Mailing:
90 BRIDGE ST STE 105
WESTBROOK, ME 04092-2887
Phone:
+1 (207) 854-5454 x1
Fax:
+1 (207) 481-4682
Email:
daniel.freund@commoncensus.com

History

License Type Start Date End Date
RESIDENT PRODUCER AGENCY 10/31/2015 12/01/2026

Alias, DBA or Trade Name

Name
BENEFITSUSA
COMMON BENEFITS

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/12/2016 LHF250 01/24/2019
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/07/2019 LHF250
STARMOUNT LIFE INSURANCE COMPANY
02/07/2019 LHD131525
UNUM INSURANCE COMPANY
02/07/2019 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/12/2016 LHD145 01/24/2019
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/07/2019 LHD145

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DANIEL FREUND
10/31/2015 PRR14485

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DANIEL FREUND PRR14485

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17765972

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: 10/08/2025 01:27:16 PM