black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HARTFORD INC

RESIDENT PRODUCER AGENCY

License Number:
AGR156230
First Licensure:
07/26/2008
Cancel Date:
07/01/2015
Renewal Date:
07/01/2015

Mailing:
10 FALCON RD
LEWISTON, ME 04240-5833
Phone:
+1 (207) 777-1055
Fax:
+1 (207) 784-6475
Email:
tll@hartfordinc.com

History

License Type Start Date End Date
RESIDENT PRODUCER AGENCY 07/26/2008 06/30/2015

Alias, DBA or Trade Name

Name
EVERGREEN MGA

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
02/06/2010 LHF149 09/26/2014
SUN LIFE AND HEALTH INSURANCE COMPANY (US)
11/10/2008 LHF857 08/10/2011
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
11/10/2008 LHF271 07/01/2015

Affiliated Agent

None.

Branch Office

None.

Supervised Entity

None.

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2004522

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: 10/12/2025 04:11:36 PM