black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PENNSYLVANIA LIFE INSURANCE COMPANY

INSURANCE COMPANY

License Number:
LHF243
First Licensure:
01/13/1969
Cancel Date:
09/30/2019
Renewal Date:
09/30/2019
NAIC Code:
67660

Street Location:
CAITLYN BOUTON
2211 SANDERS RD
NORTHBROOK, IL 60062-6150
Mailing:
CAITLYN BOUTON
2211 SANDERS RD
NORTHBROOK, IL 60062-6150
Phone:
+1 (847) 559-3992
Fax:
+1 (401) 733-0136
Email:
caitlyn.bouton@caremark.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/01/1990 09/29/2019

Employee

None.

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 09/30/2019 Terminated
HEALTH 03/01/1996 09/30/2019 Terminated
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT ROSALIE AVALOS-CANEZ
9501 E SHEA BLVD
SCOTTSDALE, AZ 85260-6719
Phone: +1 (480) 661-3791
Email:
SERVICE OF PROCESS CT CORPORATION SYSTEM
3 CHASE AVE
AUGUSTA, ME 04330-4525
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 02/11/2026 09:12:47 AM