black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HEALTH PLAN BENEFITS LLC

RESIDENT PRODUCER AGENCY

License Number:
AGR103694
Status:
Active
First Licensure:
05/17/2004
Cancel Date:
None
Renewal Date:
12/01/2024

Mailing:
12 RAMBLE RD
CAPE ELIZABETH, ME 04107-2337
Phone:
+1 (207) 899-0569
Fax:
+1 (207) 799-8643
Email:
bdaviero@maine.rr.com

History
License Type Start Date End Date
RESIDENT PRODUCER AGENCY 05/17/2004 12/01/2024

Employer
Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
 05/27/2004 HMD45749 06/30/2022
AETNA LIFE INSURANCE COMPANY
 05/27/2004 LHF621 06/30/2022
AMERICAN GENERAL LIFE INSURANCE COMPANY
 08/22/2012 LHF119 12/20/2013
AMERICAN GENERAL LIFE INSURANCE COMPANY
 06/05/2017 LHF119
ANTHEM HEALTH PLANS OF MAINE INC.
 05/27/2004 LHD70566
ANTHEM INSURANCE COMPANIES INC
 07/11/2006 LHF125537 10/16/2012
ANTHEM LIFE INSURANCE COMPANY
 05/27/2004 LHF70467
BANNER LIFE INSURANCE COMPANY
 03/12/2014 LHF50047
EMPIRE GENERAL LIFE ASSURANCE CORPORATION
 03/27/2006 LHF51007 01/01/2007
FIRST COLONY LIFE INSURANCE COMPANY
 08/27/2004 LHF175 01/01/2007
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
 01/01/2007 LHF966 04/21/2014
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY
 08/20/2004 LHF933 07/02/2007
JOHN HANCOCK LIFE INSURANCE COMPANY
 09/19/2006 LHF264 01/08/2010
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
 09/19/2008 LHF210 03/04/2019
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
 07/06/2004 LHF619 05/10/2024
MAINE DENTAL SERVICE CORP
 10/01/2006 NPD29330
MAINE PARTNERS HEALTH PLAN INC
 05/27/2004 HMD51090 12/31/2004
PATRIOT INSURANCE COMPANY
 05/02/2005 PCD208274 01/01/2007
PRINCIPAL LIFE INSURANCE COMPANY
 08/30/2004 LHF406
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
 02/08/2006 LHF250 08/21/2020
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
 12/07/2021 LHF250
RED TREE INSURANCE COMPANY INC
 12/08/2021 LHF174438
RELIASTAR LIFE INSURANCE COMPANY
 01/29/2008 LHF22 08/21/2010
SECURIAN LIFE INSURANCE COMPANY
 03/23/2007 LHF120264 07/14/2020
STANDARD INSURANCE COMPANY
 02/06/2006 LHF991
STARMOUNT LIFE INSURANCE COMPANY
 05/29/2019 LHD131525 08/21/2020
STARMOUNT LIFE INSURANCE COMPANY
 12/07/2021 LHD131525
SUN LIFE AND HEALTH INSURANCE COMPANY (US)
 10/07/2004 LHF857
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
 06/22/2009 LHF271
UNION SECURITY INSURANCE COMPANY
 07/15/2004 LHF295 02/14/2014
UNITED CONCORDIA INSURANCE COMPANY
 12/08/2015 LHF85353
UNUM INSURANCE COMPANY
 05/29/2019 LHD241 08/21/2020
UNUM INSURANCE COMPANY
 12/07/2021 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
 02/08/2006 LHD145 08/21/2020
UNUM LIFE INSURANCE COMPANY OF AMERICA
 12/07/2021 LHD145
USABLE LIFE
 08/01/2004 LHF91761 11/30/2009
WEST COAST LIFE INSURANCE COMPANY
 08/31/2005 LHF47439 08/10/2009

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
WILLIAM R. DAVIERO
 05/17/2004 PRR42986

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
WILLIAM R. DAVIERO PRR42986

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8093236

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: 05/17/2024 04:44:27 AM