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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CLARICE R. MIMS

PRODUCER NON-RESIDENT

License Number:
PRN164726
Status:
First Licensure:
03/21/2009
Cancel Date:
None

Mailing:
MARLBORO, NY 12542
Phone:
+1 (646) 434-6000
Fax:
+1 (646) 224-8484
Email:
clarice.mims@coloniallifesales.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/21/2009

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
03/21/2009 LHF100
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/16/2021 LHF250
STARMOUNT LIFE INSURANCE COMPANY
09/16/2021 LHD131525
UNUM INSURANCE COMPANY
09/16/2021 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/16/2021 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 03/21/2009 Active
LIFE 03/21/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2510243

Other Addresses

Address Type
MARLBORO, NY 12542
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: 05/18/2025 03:45:49 AM