black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LTB INSURANCE, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN436170
Status:
First Licensure:
11/03/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
85 WILMINGTON RD
BURLINGTON, MA 01803-1499
Mailing:
85 WILMINGTON RD
BURLINGTON, MA 01803-1499
Phone:
+1 (781) 365-1800
Fax:
+1 (781) 221-0031
Email:
hrisman@risman.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/03/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONCORD GENERAL MUTUAL INSURANCE COMPANY
01/26/2023 PCF416
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/07/2022 PCF445
GREEN MOUNTAIN INSURANCE COMPANY INC
01/26/2023 PCF73
VERMONT ACCIDENT INSURANCE COMPANY INC
01/26/2023 PCF883

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KERRI ANN BOUTIN
11/03/2022 PRN334188

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KERRI ANN BOUTIN PRN334188

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20204700

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: 05/15/2025 07:06:07 AM