black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HPHC INSURANCE COMPANY 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.

INSURANCE COMPANY

License Number:
LHF115693
Status:
First Licensure:
06/30/2005
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
18975

Street Location:
93 WORCESTER ST
WELLESLEY, MA 02481-3609
Mailing:
1 WELLNESS WAY
CANTON, MA 02021-1166
Phone:
+1 (781) 612-1000
Fax:
+1 (617) 509-7515
Email:
gillian.carcia@point32health.org

History

License Type Start Date End Date
INSURANCE COMPANY 06/30/2005 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
WILLIAM CLARENCE BOURASSA JR
05/01/2020 PRR39262
STEPHEN RICHARD CONLEY
05/30/2008 PRR24573
NICOLE LYNN FAIRWEATHER
05/01/2016 PRR265078
KAYLA NICOLE GRANT
05/17/2024 PRR361795
SHEENA LYNN HANSON
07/27/2018 PRR286331
ELIZABETH HARTWELL
05/01/2020 PRR334364
CALLIE LUBINSKI
07/27/2018 PRR179873
REGAN AVERY MCCARTHY
05/17/2024 PRR335487
DANIELLE CAMPBELL SICHTERMAN
05/01/2016 PRR265312

Authority

Description Issue Date Termination Date Status
HEALTH 06/30/2005 Active

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 PRETI FLAHERTY BELIVEAU & PACHIOS
ONE CITY CTR
PO BOX 9546
PORTLAND, ME 04112-9546
Phone: +1 (207) 791-3000

License/Disciplinary Action

Case Action Taken Date
2018-31788 Consent Order 03/07/2018
2025-35214 Consent Order 01/28/2025

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/13/2025 09:41:02 AM