black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BAYSTATE FINANCIAL GROUP BENEFITS

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN434993
Status:
First Licensure:
10/22/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
200 CLARENDON ST STE 19
BOSTON, MA 02116-5039
Mailing:
301 EDGEWATER PL
WAKEFIELD, MA 01880-1293
Phone:
+1 (617) 763-3977
Email:
michelle@baystatefinancialgb.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/22/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
03/12/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
03/12/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
03/12/2023 LHF70467 04/11/2025
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
04/18/2023 LHF193
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
10/24/2022 LHF619
PRINCIPAL LIFE INSURANCE COMPANY
03/30/2023 LHF406
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/08/2023 LHF250
STARMOUNT LIFE INSURANCE COMPANY
02/08/2023 LHD131525
UNUM INSURANCE COMPANY
02/08/2023 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/08/2023 LHD145

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MICHELLE L. MARCOTTE
10/22/2022 PRN389596

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHELLE L. MARCOTTE PRN389596

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20335400

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: 12/09/2025 06:04:09 AM