black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS GARY DELACEY

PRODUCER NON-RESIDENT

License Number:
PRN112168
Status:
First Licensure:
03/29/2005
Cancel Date:
None

Mailing:
MANCHESTER, NH 03101
Phone:
+1 (603) 496-3429
Fax:
+1 (603) 668-0410
Email:
tom@workplacebenefitsolutions.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/29/2005

Agency

Name Issue Date License Number Expiration Date Cancel Date
WORKPLACE BENEFIT SOLUTIONS LLC
03/29/2005 AGN112169 07/01/2013

Employer

Name Issue Date License Number Expiration Date Cancel Date
BOSTON MUTUAL LIFE INSURANCE COMPANY
06/22/2007 LHF135 08/25/2009
CIGNA HEALTHCARE OF MAINE INC.
05/19/2005 HMD4 04/22/2014
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
05/19/2005 LHF149 05/16/2014
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
01/17/2006 LHF193 09/24/2012
HARTFORD LIFE GROUP INSURANCE COMPANY
01/17/2006 LHF47085 12/31/2006
METROPOLITAN LIFE INSURANCE COMPANY
07/18/2005 LHF380 05/19/2009
SUN LIFE AND HEALTH INSURANCE COMPANY (US)
04/28/2005 LHF857 08/17/2009
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
06/22/2009 LHF271 09/23/2010
TRUSTMARK INSURANCE COMPANY
04/14/2010 LHF132

Authority

Description Issue Date Termination Date Status
HEALTH 03/29/2005 Active
LIFE 03/29/2005 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6376278

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: 10/26/2025 03:04:28 AM