black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FLOURISH INSURANCE AGENCY LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN437507
Status:
First Licensure:
11/18/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2 PARK AVE FL 11
NEW YORK, NY 10016-5703
Mailing:
2 PARK AVE FL 11
NEW YORK, NY 10016-5703
Phone:
+1 (833) 808-5700
Fax:
+1 (413) 278-2264
Email:
legalnotices@flourish.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/18/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
C M LIFE INSURANCE COMPANY
11/22/2022 LHF906
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
11/22/2022 LHF17

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
RAAHA KIRKLAND
08/09/2023 PRN457232
MAXWELL LANE
03/13/2023 PRN445448
PATRICK LIBERONA
04/05/2024 PRN480969
MIKAL ALAN PETERSEN
10/30/2025 PRN530273
JOSHUA PINO
10/22/2025 PRN531038
KEITH VAN NAME
04/03/2025 PRN511993
JOEL VASQUEZ
09/15/2025 PRN527177

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
FLOURISH INSURANCE AGENCY LLC (JERSEY CITY, NJ)
07/21/2023 BRN457445

Supervised Entity

None.

Responsible Individual

Name License Number
KEITH VAN NAME PRN511993

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20306744

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: 01/05/2026 06:27:03 AM