black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL BRACHLOW

PRODUCER NON-RESIDENT

License Number:
PRN95846
Status:
First Licensure:
06/10/2003
Cancel Date:
None

Mailing:
HARRISON, NY 10528
Phone:
+1 (914) 323-3434
Email:
mike.brachlow@benefitmall.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/10/2003

Agency

Name Issue Date License Number Expiration Date Cancel Date
CENTERSTONE INSURANCE AND FINANCIAL SERVICES, LLC
09/17/2024 AGN32783
WESTON GROUP BENEFITS LLC
03/21/2005 AGN111889 07/01/2007

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
12/20/2005 HMD45749
AETNA LIFE INSURANCE COMPANY
12/20/2005 LHF621
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
12/21/2005 LHF804 09/30/2021
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
12/21/2005 LHF644
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
06/07/2023 LHF193
HUMANA INSURANCE COMPANY
01/22/2007 LHF980 11/15/2011
METROPOLITAN LIFE INSURANCE COMPANY
01/17/2006 LHF380 06/07/2015
PACIFICARE LIFE AND HEALTH INSURANCE COMPANY
09/23/2006 LHF102906 04/22/2011
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
08/26/2014 LHF250
UNITEDHEALTHCARE INSURANCE COMPANY
12/27/2005 LHF700 04/22/2011
UNITEDHEALTHCARE INSURANCE COMPANY
04/27/2011 LHF700 03/19/2014
UNUM LIFE INSURANCE COMPANY OF AMERICA
08/26/2014 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 06/10/2003 Active
LIFE 06/10/2003 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1979125

Other Addresses

Address Type
50 MAIN ST STE 320
WHITE PLAINS, NY 10606-1976
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: 05/21/2025 06:55:24 AM