Search → JAY E. BLACK
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
JAY E. BLACK
PRODUCER NON-RESIDENT
License Number:
PRN294938
Status:
First Licensure:
10/02/2017
Cancel Date:
None
Mailing:
LAKE FREDERICK, VA 22630
Phone:
+1 (410) 409-4695
Email:
jay.black@long-termsolutions.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 10/02/2017 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY |
10/16/2017 | LHF250 | ||
| STARMOUNT LIFE INSURANCE COMPANY |
10/16/2017 | LHD131525 | ||
| SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH |
10/17/2017 | LHF271 | ||
| UNION SECURITY INSURANCE COMPANY |
10/16/2017 | LHF295 | 11/24/2020 | |
| UNUM INSURANCE COMPANY |
08/28/2020 | LHD241 | ||
| UNUM LIFE INSURANCE COMPANY OF AMERICA |
10/16/2017 | LHD145 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 10/02/2017 | Active | |
| LIFE | 10/02/2017 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
2015679
| Address | Type |
|---|---|
| LAKE FREDERICK, VA 22630 |
Office |
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: 06/01/2026 05:26:05 AM
