black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CTSIII ENTERPRISES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN530017
Status:
First Licensure:
10/09/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3828 PICKETT CT
WAKE FOREST, NC 27587-7894
Mailing:
3828 PICKETT CT
WAKE FOREST, NC 27587-7894
Phone:
+1 (984) 235-0850
Fax:
+1 (984) 257-3112
Email:
tommy@ct3insurancegroup.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/09/2025 04/01/2027

Alias, DBA or Trade Name

Name
CT3 INSURANCE GROUP

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERITAS LIFE INSURANCE CORP
12/31/2025 LHF944
ARCADIAN HEALTH PLAN INC
11/26/2025 HMF112421
EMPHESYS INSURANCE COMPANY
12/03/2025 LHF410560
MANHATTANLIFE INSURANCE AND ANNUITY COMPANY
01/20/2026 LHF50197

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
NICOLE DAWN SHIELDS
10/09/2025 PRN484691

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
NICOLE DAWN SHIELDS PRN484691

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20192096

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: 02/12/2026 02:21:01 PM