black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADAM J. VAILLANCOURT

PRODUCER RESIDENT

License Number:
PRR56039
Status:
First Licensure:
06/17/1998
Cancel Date:
None
Renewal Date:
06/30/2027

Continuing Education:
Required by 06/30/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
OLD ORCHARD BEACH, ME 04064
Phone:
+1 (207) 937-3301
Email:
adam@vaillancourtinsurance.com

History

License Type Start Date End Date
PRODUCER RESIDENT 06/17/1998 06/30/2027

Agency

Name Issue Date License Number Expiration Date Cancel Date
ICT GROUP INC
06/17/1998 AGN37074 11/05/2004
THE TODD BENEFITS GROUP INC
06/22/2006 AGR27616 05/02/2011
VAILLANCOURT INSURANCE LLC
01/28/2011 AGR186652

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/09/2008 HMD45749 09/28/2009
AETNA LIFE INSURANCE COMPANY
10/09/2008 LHF621 09/28/2009
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
09/23/2015 PCF864
ALLSTATE INDEMNITY COMPANY
09/23/2015 PCF522
ALLSTATE INSURANCE COMPANY
09/23/2015 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
09/23/2015 PCF84066
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
06/01/2011 LHF645 06/30/2012
AMERICAN MODERN HOME INSURANCE COMPANY
09/17/2013 PCF808 10/28/2021
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
06/07/2018 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
09/17/2013 PCF123448 10/28/2021
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
11/12/2008 LHF374 08/26/2013
BRIGHTHOUSE LIFE INSURANCE COMPANY
10/19/2016 LHF277
BRISTOL WEST INSURANCE COMPANY
09/10/2011 PCF78370
THE CHARTER OAK FIRE INSURANCE COMPANY
10/21/2013 PCF403 06/09/2015
CONCORD GENERAL MUTUAL INSURANCE COMPANY
11/20/2013 PCF416 01/13/2025
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
08/21/2009 LHF149 05/16/2014
DAIRYLAND INSURANCE COMPANY
11/28/2012 PCF721
FARMERS CASUALTY INSURANCE COMPANY
05/04/2015 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
06/30/2023 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
04/22/2011 PCF714 04/30/2020
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
08/04/2020 PCF714
FARMINGTON CASUALTY COMPANY
10/21/2013 PCF995 06/09/2015
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
03/26/2009 LHF842 02/24/2012
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/10/2011 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
08/28/2015 PCF37337 06/05/2018
FOREMOST SIGNATURE INSURANCE COMPANY
08/28/2015 PCF176307 06/05/2018
GREEN MOUNTAIN INSURANCE COMPANY INC
11/20/2013 PCF73 01/13/2025
HARTFORD ACCIDENT & INDEMNITY COMPANY
09/22/2011 PCF462 11/16/2016
HUMANA INSURANCE COMPANY
10/29/2010 LHF980 04/14/2014
MARTINS POINT GENERATIONS LLC
10/23/2009 HMD125915 08/01/2011
MIC GENERAL INSURANCE CORPORATION
02/14/2025 PCF66467
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION
05/11/2011 LHF867 08/17/2011
NEW YORK LIFE INSURANCE COMPANY
05/11/2011 LHF230 08/17/2011
THE PHOENIX INSURANCE COMPANY
10/21/2013 PCF557 06/09/2015
PROGRESSIVE NORTHERN INSURANCE COMPANY
05/27/2011 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
05/27/2011 PCF27738
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
07/17/2012 PCF47445 11/16/2016
SECURITY NATIONAL INSURANCE COMPANY
05/23/2018 PCF189490 10/11/2019
SENTINEL INSURANCE COMPANY LTD
12/03/2013 PCF84269 11/16/2016
THE STANDARD FIRE INSURANCE COMPANY
10/21/2013 PCF584 06/09/2015
STATE MUTUAL INSURANCE COMPANY
11/20/2013 PCD102 01/13/2025
TECHNOLOGY INSURANCE COMPANY INC
05/23/2018 PCF136874 10/11/2019
TRAVELERS CASUALTY AND SURETY COMPANY
10/21/2013 PCF348 06/09/2015
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
10/21/2013 PCF935 06/09/2015
TRAVELERS COMMERCIAL CASUALTY COMPANY
10/21/2013 PCF83507 06/09/2015
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
10/21/2013 PCF585 06/09/2015
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
10/21/2013 PCF435 06/09/2015
THE TRAVELERS INDEMNITY COMPANY
10/21/2013 PCF602 07/18/2019
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
10/21/2013 PCF711 06/09/2015
TWIN CITY FIRE INSURANCE COMPANY
09/30/2011 PCF963 11/16/2016
UNITED OF OMAHA LIFE INSURANCE COMPANY
05/07/2018 LHF28 03/22/2019
UNITEDHEALTHCARE INSURANCE COMPANY
09/24/2010 LHF700 08/17/2011
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/12/1999 LHD145 03/29/2007
VERMONT ACCIDENT INSURANCE COMPANY INC
11/20/2013 PCF883 01/13/2025
WESCO INSURANCE COMPANY
05/23/2018 PCF49735 10/11/2019

Authority

Description Issue Date Termination Date Status
CASUALTY 06/17/1998 Active
HEALTH 07/28/1998 Active
LIFE 07/28/1998 Active
PROPERTY 06/17/1998 Active

Responsible For

Name License Number
VAILLANCOURT INSURANCE LLC AGR186652

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1928566

CE Courses

None.

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: 10/23/2025 03:47:16 AM