black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAMES C. BUSHEY

PRODUCER NON-RESIDENT

License Number:
PRN126263
Status:
First Licensure:
04/15/2006
Cancel Date:
None

Mailing:
WORCESTER, MA 01602
Phone:
+1 (508) 243-0719
Fax:
+1 (508) 438-2519
Email:
busheys@charter.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/15/2006

Agency

Name Issue Date License Number Expiration Date Cancel Date
ULTRABENEFITS, LLC.
02/09/2023 AGN83625

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FIDELITY ASSURANCE COMPANY
09/21/2015 LHF47862 02/01/2022
AMERICAN NATIONAL INSURANCE COMPANY
01/22/2018 LHF11
FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY
06/21/2018 PCF197663 01/28/2025
GREENWICH INSURANCE COMPANY
07/15/2019 PCF43984
HCC LIFE INSURANCE COMPANY
06/01/2010 LHF133704
NATIONWIDE LIFE INSURANCE COMPANY
08/05/2019 LHF29
UNIMERICA INSURANCE COMPANY
01/31/2017 LHF102276
UNITEDHEALTHCARE INSURANCE COMPANY
01/17/2017 LHF700 08/12/2025
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375 08/12/2025

Authority

Description Issue Date Termination Date Status
HEALTH 04/15/2006 Active
LIFE 04/15/2006 Active

Responsible For

Name License Number
ULTRABENEFITS, LLC. AGN83625

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5409675

Other Addresses

Address Type
1 ANNIE GEORGE DR
MASHANTUCKET, CT 06338-3801
Office

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: 07/24/2026 03:14:13 PM