black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PETER A. PELLETIER

PRODUCER NON-RESIDENT

License Number:
PRN11622
Status:
First Licensure:
07/20/1981
Cancel Date:
None

Mailing:
INTERVALE, NH 03845
Phone:
+1 (603) 387-7016
Fax:
+1 (603) 356-9312
Email:
peter@ib-fs.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/22/1993
*** NOT ACTIVE *** 07/09/1992 02/21/1993
PRODUCER RESIDENT 04/14/1989 07/08/1992

Agency

Name Issue Date License Number Expiration Date Cancel Date
A D DAVIS INCORPORATED
04/01/1994 AGN11986 03/08/2001
EQUITY SERVICES INC
09/28/1998 AGN23852
OMNI UNDERWRITING MANAGERS LLC
05/18/2001 AGR68774 11/07/2003

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
01/13/2004 HMD45749 08/25/2012
AETNA LIFE INSURANCE COMPANY
05/09/1988 LHF621 08/25/2012
AMERICAN HERITAGE LIFE INSURANCE COMPANY
12/07/2003 LHF594 06/12/2008
ANTHEM HEALTH PLANS OF MAINE INC.
12/15/2016 LHD70566 04/20/2018
CIGNA HEALTHCARE OF MAINE INC.
08/11/1999 HMD4 04/22/2014
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
08/11/1999 LHF149 05/16/2014
JOHN HANCOCK LIFE INSURANCE COMPANY
03/17/2003 LHF264 12/06/2007
MAINE COMMUNITY HEALTH OPTIONS
06/18/2014 NPD214118
MAINE DENTAL SERVICE CORP
07/01/2008 NPD29330
NATIONAL LIFE INSURANCE COMPANY
02/22/1993 LHF225 04/20/2021
PRINCIPAL LIFE INSURANCE COMPANY
04/16/1996 LHF406 03/19/2010
PRINCIPAL LIFE INSURANCE COMPANY
05/21/2010 LHF406
PRUDENTIAL INSURANCE COMPANY OF AMERICA
09/15/2008 LHF252 01/31/2012
REASSURE AMERICA LIFE INSURANCE COMPANY
01/29/1999 LHF292 04/30/2004
RED TREE INSURANCE COMPANY INC
01/31/2020 LHF174438
STANDARD INSURANCE COMPANY
02/13/2004 LHF991 11/18/2022
SUN LIFE AND HEALTH INSURANCE COMPANY (US)
12/02/2003 LHF857 08/05/2011
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
07/25/2008 LHF271 08/04/2011
SYMETRA LIFE INSURANCE COMPANY
06/17/2016 LHF777 09/16/2022
TIME INSURANCE COMPANY
01/03/2014 LHF276 06/25/2015
TRANSAMERICA LIFE INSURANCE COMPANY
07/17/2008 LHF726
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY
07/29/2005 LHF23 10/02/2008
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
12/02/2003 LHF654 03/16/2006
UNITEDHEALTHCARE INSURANCE COMPANY
09/01/2009 LHF700 06/29/2010
UNITEDHEALTHCARE INSURANCE COMPANY
07/07/2021 LHF700 08/12/2025
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375 08/12/2025

Authority

Description Issue Date Termination Date Status
HEALTH 02/22/1993 Active
LIFE 02/22/1993 Active
VARIABLE CONTRACTS 08/18/2004 Active
VARIABLE LIFE & ANNUITY 01/01/1901 07/09/1992 Terminated
INDEPENDENT PRODUCER 06/05/2008 09/28/2011 Terminated
LIFE AND HEALTH 01/01/1901 07/09/1992 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
27845

Other Addresses

Address Type
PETER A. PELLETIER
59 SKYLINE DR
INTERVALE, NH 03845-6112
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: 10/15/2025 08:22:00 AM