black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COMPLETE BENEFIT SOLUTIONS, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN315194
Status:
First Licensure:
08/21/2018
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
1 CARANDO DR STE 1
SPRINGFIELD, MA 01104-3211
Mailing:
1 CARANDO DR STE 1
SPRINGFIELD, MA 01104-3211
Phone:
+1 (413) 693-1649
Fax:
+1 (413) 736-8001
Email:
kvadnias@completepayrollsolutions.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/21/2018 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMGUARD INSURANCE COMPANY
01/14/2021 PCF51460
ANTHEM HEALTH PLANS OF MAINE INC.
02/06/2022 LHD70566
ANTHEM LIFE INSURANCE COMPANY
02/06/2022 LHF70467 04/01/2025
THE CHARTER OAK FIRE INSURANCE COMPANY
11/20/2019 PCF403 08/12/2024
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
12/17/2023 LHF100
FARMINGTON CASUALTY COMPANY
06/11/2019 PCF995
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
11/21/2022 LHF644 05/06/2025
HARTFORD ACCIDENT & INDEMNITY COMPANY
05/29/2023 PCF462
HARTFORD CASUALTY INSURANCE COMPANY
12/24/2019 PCF967
HARTFORD FIRE INSURANCE COMPANY
05/16/2019 PCF464
HARTFORD INSURANCE COMPANY OF THE MIDWEST
05/28/2019 PCF1021
HARTFORD UNDERWRITERS INSURANCE COMPANY
05/09/2019 PCF992
INDEPENDENCE AMERICAN INSURANCE COMPANY
02/01/2021 PCF86149 09/21/2023
MADISON NATIONAL LIFE INSURANCE COMPANY
02/01/2021 LHF120427
NORGUARD INSURANCE COMPANY
01/14/2021 PCF51459
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
05/09/2019 PCF47445
SENTINEL INSURANCE COMPANY LTD
02/10/2020 PCF84269 06/02/2021
SENTINEL INSURANCE COMPANY LTD
03/29/2023 PCF84269
THE STANDARD FIRE INSURANCE COMPANY
09/01/2022 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY
01/10/2023 PCF348
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
05/29/2020 PCF935 08/14/2023
TRAVELERS COMMERCIAL CASUALTY COMPANY
01/24/2020 PCF83507
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
01/24/2020 PCF585 08/12/2024
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
08/04/2023 PCF711
TRUMBULL INSURANCE COMPANY
12/02/2019 PCF47441
UNITED OF OMAHA LIFE INSURANCE COMPANY
03/17/2022 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
08/22/2018 LHF700 06/01/2021
UNITEDHEALTHCARE INSURANCE COMPANY
06/21/2022 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
06/21/2022 HMF393375

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JOHN ROBERT PETTENGILL
08/21/2018 PRN314030

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JOHN ROBERT PETTENGILL PRN314030

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8465229

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 06:55:36 PM