black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HARVARD PILGRIM HEALTH CARE INC.

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

HEALTH MAINTENANCE ORGANIZATION

License Number:
HMF39507
Status:
First Licensure:
05/24/1994
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
96911

Street Location:
PAUL VITTI
1600 CROWN COLONY DR
QUINCY, MA 02169-0913
Mailing:
1 WELLNESS WAY
CANTON, MA 02021-1166
Phone:
+1 (718) 612-1000
Email:
gillian.carcia@point32health.org

History

License Type Start Date End Date
HEALTH MAINTENANCE ORGANIZATION 05/24/1994 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
JOHN V. ALIBERTO
10/18/2022 PRR157981
WILLIAM CLARENCE BOURASSA JR
05/01/2020 PRR39262
MARC DANIEL CHIPMAN
05/01/2022 PRR371567
STEPHEN RICHARD CONLEY
05/01/2016 PRR24573
NICOLE LYNN FAIRWEATHER
05/01/2016 PRR265078
SHEENA LYNN HANSON
07/27/2018 PRR286331
ELIZABETH HARTWELL
05/01/2020 PRR334364
STEVEN A. LINTERIS
09/14/2022 PRN50944
CALLIE LUBINSKI
04/25/2014 PRR179873
DANIELLE CAMPBELL SICHTERMAN
05/01/2016 PRR265312

Authority

Description Issue Date Termination Date Status
HEALTH 09/01/1997 Active
HEALTH 05/24/1994 09/01/1997 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT PATRICIA GAMBON
PATRICIA GAMBON
1 WELLNESS WAY
CANTON, MA 02021-1166
Phone: +1 (781) 612-4266
Email: trish.gambon@point32health.org
SERVICE OF PROCESS SEVERIN M. BELIVEAU, ESQ
PRETI, FLAHERTY,BELIVEAU & PACHIOS (AUGUSTA)
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (207) 623-5167

License/Disciplinary Action

Case Action Taken Date
RIRS-1494 Regulatory Action 06/22/2005
2018-31313 Stipulated Agreement/Order 03/07/2018
2025-35213 Consent Order 01/28/2025

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
96911

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 06:31:19 PM