black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SUSAN MARIE PELLETIER

PRODUCER RESIDENT

License Number:
PRR64729
Status:
Active
First Licensure:
09/13/1999
Cancel Date:
None
Renewal Date:
07/31/2025

Continuing Education:
Required by 07/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
SKOWHEGAN, ME 04976
Phone:
+1 (207) 474-7111
Fax:
+1 (207) 474-8372
Email:
insurance@gwi.net

History
License Type Start Date End Date
PRODUCER RESIDENT 09/13/1999 07/31/2025

Agency
Name Issue Date License Number Expiration Date Cancel Date
SKOWHEGAN INSURANCE AGENCY INC
 09/13/1999 AGR11912

Employer
Name Issue Date License Number Expiration Date Cancel Date
21ST CENTURY PREMIER INSURANCE COMPANY
 02/04/2009 PCF321 07/15/2010
AETNA HEALTH INC
 04/03/2015 HMD45749
AETNA LIFE INSURANCE COMPANY
 04/03/2015 LHF621
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
 02/12/2008 PCF864
ALLSTATE INDEMNITY COMPANY
 08/07/2000 PCF522
ALLSTATE INSURANCE COMPANY
 08/07/2000 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 10/20/2003 PCF84066
AMERICAN MODERN HOME INSURANCE COMPANY
 05/25/2015 PCF808 10/28/2021
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 11/29/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
 05/25/2015 PCF123448 10/28/2021
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 04/13/2022 LHF374
AMERICAN RELIABLE INSURANCE COMPANY
 12/06/2010 PCF45416 11/11/2021
ANTHEM HEALTH PLANS OF MAINE INC.
 12/15/2018 LHD70566
ANTHEM INSURANCE COMPANIES INC
 06/24/2021 LHF125537
ARCADIAN HEALTH PLAN INC
 04/09/2013 HMF112421 10/28/2015
ARCADIAN HEALTH PLAN INC
 09/21/2020 HMF112421 10/08/2021
ASSURITY LIFE INSURANCE COMPANY
 03/08/2002 LHF179 04/08/2009
ATHENE ANNUITY & LIFE ASSURANCE COMPANY
 04/12/2010 LHF690 06/13/2011
ATHENE ANNUITY AND LIFE COMPANY
 02/17/2017 LHF64369
ATHOME INSURANCE COMPANY
 12/09/2005 PCF503 07/15/2010
BRIGHTHOUSE LIFE INSURANCE COMPANY
 10/10/2014 LHF277 04/16/2025
BRISTOL WEST INSURANCE COMPANY
 03/13/2007 PCF78370
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 09/20/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 07/26/2021 LHF214634 01/25/2024
CASCO INDEMNITY COMPANY
 09/30/2002 PCF921
CLEAR SPRING LIFE AND ANNUITY COMPANY
 05/25/2012 LHF190587
CONSECO HEALTH INSURANCE COMPANY
 06/18/2002 LHF954 11/17/2009
CONSECO INSURANCE COMPANY
 12/22/2004 LHF45791 07/17/2009
DAIRYLAND INSURANCE COMPANY
 10/20/1999 PCF721
ELIXIR INSURANCE COMPANY
 11/16/2016 LHF191350 10/01/2020
EVERLAKE LIFE INSURANCE COMPANY
 09/21/2001 LHF112
FARMERS CASUALTY INSURANCE COMPANY
 07/14/2004 PCF895 04/30/2020
FARMERS CASUALTY INSURANCE COMPANY
 08/04/2020 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
 09/22/2022 PCF267721
FARMERS INSURANCE EXCHANGE FARMERS GROUP INC
 01/28/2005 IIF106 03/21/2012
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 07/14/2004 PCF714 04/30/2020
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 08/04/2020 PCF714
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
 11/06/2009 LHF842
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 10/18/2004 PCF445
GENERAL AMERICAN LIFE INSURANCE COMPANY
 04/28/2006 LHF650 12/15/2009
GERBER LIFE INSURANCE COMPANY
 12/07/2020 LHF185 08/18/2023
GUARANTEE TRUST LIFE INSURANCE COMPANY
 07/07/2004 LHF191 11/02/2011
GUARANTEE TRUST LIFE INSURANCE COMPANY
 11/22/2011 LHF191 11/27/2013
HARTFORD ACCIDENT & INDEMNITY COMPANY
 11/18/2013 PCF462 05/05/2017
HARTFORD ACCIDENT & INDEMNITY COMPANY
 03/02/2020 PCF462 06/03/2021
HARTFORD ACCIDENT & INDEMNITY COMPANY
 01/06/2022 PCF462 05/19/2023
HARTFORD ACCIDENT & INDEMNITY COMPANY
 07/20/2023 PCF462
HARTFORD CASUALTY INSURANCE COMPANY
 10/30/2000 PCF967 07/02/2008
HARTFORD FIRE INSURANCE COMPANY
 10/30/2000 PCF464 07/07/2008
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 10/30/2000 PCF1021 07/07/2008
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
 07/21/2016 LHF193
HARTFORD UNDERWRITERS INSURANCE COMPANY
 10/30/2000 PCF992 07/02/2008
HINGHAM MUTUAL FIRE INSURANCE COMPANY
 01/01/2000 PCF76 07/21/2016
HUMANA INSURANCE COMPANY
 01/04/2010 LHF980
HUMANADENTAL INSURANCE COMPANY
 01/07/2013 LHF173873 10/28/2015
HUMANADENTAL INSURANCE COMPANY
 11/02/2016 LHF173873 11/14/2017
INTEGON NATIONAL INSURANCE COMPANY
 07/02/2015 PCF310
KEMPER INDEPENDENCE INSURANCE COMPANY
 06/22/2011 PCF94586
LINCOLN BENEFIT LIFE COMPANY
 10/30/2001 LHF973 07/08/2014
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
 10/27/2005 PCD35999 12/31/2009
MANUFACTURERS AND MERCHANTS MUTUAL INSURANCE COMPANY
 10/01/1999 PCF504 12/24/2002
METLIFE INVESTORS USA INSURANCE COMPANY
 04/28/2006 LHF934 11/14/2014
METROPOLITAN GENERAL INSURANCE COMPANY
 07/14/2004 PCF893 04/30/2020
MOUNTAIN VALLEY INDEMNITY COMPANY
 10/30/2007 PCF48487 02/11/2009
MUTUAL OF OMAHA INSURANCE COMPANY
 04/18/2008 LHF84 05/22/2013
NATIONAL GENERAL INSURANCE COMPANY
 06/04/2012 PCF647
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
 01/31/2011 LHF231 01/06/2016
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
 03/08/2023 LHF231
NORTH EAST INSURANCE COMPANY
 09/16/1999 PCF536 02/11/2009
OCEANVIEW LIFE AND ANNUITY COMPANY
 05/12/2021 LHF358208
PACIFICARE LIFE AND HEALTH INSURANCE COMPANY
 12/09/2005 LHF102906 11/03/2011
PENNSYLVANIA LIFE INSURANCE COMPANY
 01/19/2009 LHF243 11/26/2013
PHENIX MUTUAL FIRE INSURANCE COMPANY
 12/31/2002 PCF554 05/01/2022
PROGRESSIVE NORTHERN INSURANCE COMPANY
 11/28/2006 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 11/28/2006 PCF27738
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
 02/20/2012 PCF47445 05/17/2019
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
 10/16/2023 PCF47445
THE SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS
 05/12/2018 LHF50668 07/21/2020
SENTINEL INSURANCE COMPANY LTD
 08/26/2005 PCF84269 06/06/2013
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 02/13/2014 LHF58195
SILVERSCRIPT INSURANCE COMPANY
 11/07/2017 LHF132429
TIME INSURANCE COMPANY
 07/01/2002 LHF276 06/25/2015
TOWER INSURANCE COMPANY OF NEW YORK
 10/30/2007 PCF120355 07/21/2016
TOWER NATIONAL INSURANCE COMPANY
 10/30/2007 PCF923 02/11/2009
TRANSAMERICA LIFE INSURANCE COMPANY
 09/12/2019 LHF726 11/10/2020
TRUCK INSURANCE EXCHANGE TRUCK UNDERWRITERS ASSOCIATION
 06/07/2007 IIF107 10/19/2012
TWIN CITY FIRE INSURANCE COMPANY
 10/30/2000 PCF963 07/07/2008
TWIN CITY FIRE INSURANCE COMPANY
 10/25/2010 PCF963
ORDER OF UNITED COMMERCIAL TRAVELERS OF AMERICA
 02/01/2007 FRF29324 01/08/2009
UNITED FINANCIAL CASUALTY COMPANY
 11/28/2006 PCF61704 03/31/2012
UNITED OF OMAHA LIFE INSURANCE COMPANY
 04/18/2008 LHF28 07/22/2013
UNITED OF OMAHA LIFE INSURANCE COMPANY
 03/05/2021 LHF28 01/19/2022
UNITED OHIO INSURANCE COMPANY
 03/01/2013 PCF192494
UNITEDHEALTHCARE INSURANCE COMPANY
 07/13/2010 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
 09/12/2016 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
 07/20/2022 HMF376407 01/25/2024
UNITRIN SAFEGUARD INSURANCE COMPANY
 07/20/2017 PCF167010
UNIVERSAL UNDERWRITERS INSURANCE COMPANY
 10/04/2001 PCF892 09/16/2003
WELLCARE OF MAINE, INC.
 11/05/2020 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
 07/29/2008 LHF121869 05/11/2010
WELLCARE PRESCRIPTION INSURANCE INC
 01/24/2012 LHF121869 11/26/2017
WELLCARE PRESCRIPTION INSURANCE INC
 04/16/2018 LHF121869
WESTERN SURETY COMPANY
 07/31/2009 PCF96

Authority
Description Issue Date Termination Date Status
CASUALTY 09/13/1999 Active
HEALTH 05/11/2001 Active
LIFE 05/11/2001 Active
PROPERTY 09/13/1999 Active
SURPLUS LINES 06/06/2011 Active

Responsible For
Name License Number
SKOWHEGAN INSURANCE AGENCY INC AGR11912

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3683193

Other Addresses
Address Type
SKOWHEGAN INSURANCE AGENCY INC
108 MADISON AVE
SKOWHEGAN, ME 04976-1208
 Office

CE Courses

None.

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: 05/14/2025 10:59:15 PM