black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NEW YORK LONG TERM CARE BROKERS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN173254
Status:
Active
First Licensure:
12/13/2009
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
11 EXECUTIVE PARK DR
HALFMOON, NY 12065-5631
Mailing:
11 EXECUTIVE PARK DR
HALFMOON, NY 12065-5631
Phone:
+1 (518) 371-5522
Fax:
+1 (518) 688-8139
Email:
blinsurance@cscglobal.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/13/2009 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 04/14/2022 LHF374 05/28/2023
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 09/23/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 07/19/2021 LHF214634 05/22/2023
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 08/06/2023 LHF214634 02/17/2025
INTEGRITY LIFE INSURANCE COMPANY
 05/23/2022 LHF262166
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
 10/07/2011 LHF619
MEDICO INSURANCE COMPANY
 06/20/2016 LHF520 10/23/2017
NATIONWIDE LIFE INSURANCE COMPANY
 04/10/2020 LHF29
PENN INSURANCE AND ANNUITY COMPANY
 09/05/2012 LHF65787
PENN MUTUAL LIFE INSURANCE COMPANY
 09/05/2012 LHF242
PRUCO LIFE INSURANCE COMPANY
 12/28/2009 LHF768
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 02/13/2014 LHF58195 05/22/2023
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 08/06/2023 LHF58195 02/17/2025
STATE LIFE INSURANCE COMPANY
 09/29/2015 LHF984
TALCOTT RESOLUTION LIFE AND ANNUITY INSURANCE COMPANY
 01/12/2026 LHF660
UNITEDHEALTHCARE INSURANCE COMPANY
 01/06/2010 LHF700 05/22/2023
UNITEDHEALTHCARE INSURANCE COMPANY
 08/06/2023 LHF700 02/17/2025
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
 09/12/2016 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
 07/25/2022 HMF376407 05/22/2023
UNITEDHEALTHCARE OF WISCONSIN, INC.
 08/06/2023 HMF376407 02/17/2025
WELLCARE OF MAINE, INC.
 04/14/2022 HMD305081 05/28/2023
WELLCARE PRESCRIPTION INSURANCE INC
 04/14/2022 LHF121869 05/28/2023

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
PETER J. KELLY
 12/13/2009 PRN100082
ROBERT M. VANDY
 03/10/2021 PRN377339

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
PETER J. KELLY PRN100082

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1992858

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: 04/09/2026 06:10:09 AM