black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BRIAN WILLIAM FORD

PRODUCER NON-RESIDENT

License Number:
PRN451104
Status:
First Licensure:
05/06/2023
Cancel Date:
None

Mailing:
WORCESTER, MA 01605
Phone:
+1 (774) 701-0544
Fax:
+1 (508) 796-5153
Email:
brian.ford1@baystatefinancial.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/06/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
MML INSURANCE AGENCY LLC
11/16/2023 AGN34945

Employer

Name Issue Date License Number Expiration Date Cancel Date
MASSMUTUAL ASCEND LIFE INSURANCE COMPANY
02/06/2024 LHF878

Authority

Description Issue Date Termination Date Status
HEALTH 05/06/2023 Active
LIFE 05/06/2023 Active
VARIABLE CONTRACTS 05/06/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20529496

Other Addresses

Address Type
WORCESTER, MA 01605
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: 06/23/2025 04:33:01 AM