black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KOLLEEN BOUCHARD

PRODUCER RESIDENT

License Number:
PRR504877
Status:
First Licensure:
01/07/2025
Cancel Date:
None
Renewal Date:
05/31/2026

Continuing Education:
Required by 05/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
KENNEBUNK, ME 04043
Phone:
+1 (207) 694-0786
Email:
kolleenbouchard@gmail.com

History

License Type Start Date End Date
PRODUCER RESIDENT 01/07/2025 05/31/2026

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
01/09/2025 LHF250
STARMOUNT LIFE INSURANCE COMPANY
01/09/2025 LHD131525
UNUM INSURANCE COMPANY
01/09/2025 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
01/09/2025 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 01/07/2025 Active
LIFE 01/07/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21431478

Other Addresses

Address Type
KENNEBUNK, ME 04043
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: 11/29/2025 07:20:23 AM