black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DIVERSIFIED GROUP BROKERAGE CORPORATION

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN31194
Status:
First Licensure:
09/14/1990
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
369 N MAIN ST
MARLBOROUGH, CT 06447-1345
Mailing:
369 N MAIN ST
MARLBOROUGH, CT 06447-1345
Phone:
+1 (860) 295-0238
Fax:
+1 (860) 295-6503
Email:
mbosse@diversifiedgb.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/15/1998 04/01/2027
*** NOT ACTIVE *** 08/15/1994 06/14/1998
NON-RESIDENT PRODUCER AGENCY 09/14/1990 08/14/1994

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
09/21/2021 LHF233900
AMERICAN GENERAL LIFE INSURANCE COMPANY
06/30/2015 LHF119
AMERICAN UNITED LIFE INSURANCE COMPANY
12/20/2001 LHF35996
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA
03/30/2017 LHF916 03/06/2022
GERBER LIFE INSURANCE COMPANY
11/30/2020 LHF185
HARTFORD FIRE INSURANCE COMPANY
07/28/2003 PCF464 07/03/2008
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
07/07/2003 LHF193
HCC LIFE INSURANCE COMPANY
12/20/2022 LHF133704
THE PAUL REVERE LIFE INSURANCE COMPANY
09/18/1998 LHF240 09/15/2003
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/18/1998 LHF250 03/13/2006
RELIASTAR LIFE INSURANCE COMPANY
08/07/2000 LHF22
UNITEDHEALTHCARE INSURANCE COMPANY
09/21/2021 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
04/12/2023 HMF393375
UNUM LIFE INSURANCE COMPANY OF AMERICA
11/18/1999 LHD145 03/13/2006

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BROOKS T. GOODISON
03/05/2009 PRN134527

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
BROOKS T. GOODISON PRN134527

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2004607

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 01:12:10 AM