black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NORTHEAST INSURANCE BROKER SERVICES

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN78987
Status:
First Licensure:
06/13/2001
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
620 HINESBURG RD STE 120
SOUTH BURLINGTON, VT 05403-6500
Mailing:
620 HINESBURG RD STE 120
SOUTH BURLINGTON, VT 05403-6500
Phone:
+1 (802) 862-4865
Fax:
+1 (802) 862-4865
Email:
melissa.hendershot@nibsvt.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/13/2001 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL LIFE INSURANCE COMPANY
01/01/2013 LHF119
AMERICAN GENERAL LIFE INSURANCE COMPANY OF DELAWARE
10/06/2008 LHF77803 12/31/2012
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
11/09/2022 LHF374 03/03/2024
BANNER LIFE INSURANCE COMPANY
07/12/2016 LHF50047
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
06/08/2011 LHF100
FIRST COLONY LIFE INSURANCE COMPANY
10/24/2006 LHF175 01/01/2007
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
01/01/2007 LHF966 04/12/2016
GENWORTH LIFE INS CO
08/13/2003 LHF46264 04/12/2016
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
04/02/2007 LHF193
HCC LIFE INSURANCE COMPANY
01/09/2018 LHF133704
HUMANA INSURANCE COMPANY
09/16/2011 LHF980 04/13/2015
JOHN HANCOCK LIFE INSURANCE COMPANY
07/31/2003 LHF264 01/08/2010
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
09/29/2006 LHF210 03/04/2019
JOHN HANCOCK VARIABLE LIFE INSURANCE COMPANY
07/31/2003 LHF858 11/13/2007
LINCOLN BENEFIT LIFE COMPANY
09/04/2003 LHF973 03/23/2007
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
11/04/2010 LHF619
LOYAL AMERICAN LIFE INSURANCE COMPANY
02/12/2016 LHF207 10/30/2017
LOYAL AMERICAN LIFE INSURANCE COMPANY
08/29/2021 LHF207 10/30/2023
METLIFE INVESTORS USA INSURANCE COMPANY
12/17/2008 LHF934 11/18/2009
MUTUAL OF OMAHA INSURANCE COMPANY
06/11/2007 LHF84 04/22/2011
PRINCIPAL LIFE INSURANCE COMPANY
08/06/2003 LHF406
PRUCO LIFE INSURANCE COMPANY
01/16/2007 LHF768 12/06/2007
RELIANCE STANDARD LIFE INSURANCE COMPANY
09/23/2004 LHF254
THE SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS
10/27/2006 LHF50668 05/20/2008
STANDARD INSURANCE COMPANY
06/17/2003 LHF991
TIME INSURANCE COMPANY
08/20/2001 LHF276 01/17/2006
UNITED OF OMAHA LIFE INSURANCE COMPANY
06/11/2007 LHF28 04/22/2011
WELLCARE OF MAINE, INC.
11/09/2022 HMD305081 03/03/2024
WELLCARE PRESCRIPTION INSURANCE INC
11/09/2022 LHF121869 03/03/2024
WEST COAST LIFE INSURANCE COMPANY
08/25/2003 LHF47439 11/16/2011
WESTERN NATIONAL LIFE INSURANCE COMPANY
03/28/2003 LHF50722 11/28/2007

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
TAWNY C. BLOOM
05/17/2016 PRN268448
MELISSA ELIZABETH DEGUISE-HENDERSHOT
03/09/2023 PRN395837
MITCHELL R. FLEISCHER
06/13/2001 PRN54834

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MELISSA ELIZABETH DEGUISE-HENDERSHOT PRN395837

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4801347

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: 06/07/2025 10:14:18 AM