black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EVELYN COLETTE BERGDOLL

PRODUCER RESIDENT

License Number:
PRR166804
Status:
First Licensure:
06/02/2009
Cancel Date:
None
Renewal Date:
07/31/2027

Continuing Education:
Required by 07/31/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
BURNHAM, ME 04922
Phone:
+1 (207) 314-5282
Fax:
+1 (866) 678-2710
Email:
ebclaims@yahoo.com

History

License Type Start Date End Date
PRODUCER RESIDENT 06/02/2009 07/31/2027

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEALTHCARE SOLUTIONS TEAM LLC
03/11/2024 AGN156151

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
06/02/2009 LHF645 04/01/2018
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/01/2018 LHF306110
CONTINENTAL AMERICAN INSURANCE COMPANY
11/01/2014 LHF80843
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
05/14/2025 LHF250
RESERVE NATIONAL INSURANCE COMPANY
03/08/2016 LHF218401 03/02/2017
STARMOUNT LIFE INSURANCE COMPANY
05/14/2025 LHD131525
TRANSAMERICA LIFE INSURANCE COMPANY
02/09/2016 LHF726
UNUM INSURANCE COMPANY
05/14/2025 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
05/14/2025 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 06/02/2009 Active
LIFE 06/02/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
14075313

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: 11/26/2025 01:00:42 AM