black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BENJAMIN T. MANCUSO III

PRODUCER NON-RESIDENT

License Number:
PRN63960
Status:
First Licensure:
08/05/1999
Cancel Date:
None

Mailing:
ROCHESTER, NH 03867

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/05/1999

Agency

Name Issue Date License Number Expiration Date Cancel Date
OMNI UNDERWRITING MANAGERS LLC
08/04/2003 AGR68774 09/14/2009

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
01/26/2004 HMD45749 10/02/2009
AETNA LIFE INSURANCE COMPANY
01/26/2004 LHF621 10/02/2009
AMERICAN FIDELITY ASSURANCE COMPANY
01/05/2011 LHF47862 07/10/2017
AMERICAN HERITAGE LIFE INSURANCE COMPANY
08/05/1999 LHF594 03/25/2010
AMERICAN PUBLIC LIFE INSURANCE COMPANY
01/14/2011 LHF116646 06/22/2015
AMERITAS LIFE INSURANCE CORP
10/01/2014 LHF944 07/10/2017
ANTHEM HEALTH PLANS OF MAINE INC.
04/01/2013 LHD70566
ANTHEM LIFE INSURANCE COMPANY
04/01/2013 LHF70467 04/11/2025
ASSURITY LIFE INSURANCE COMPANY
11/22/2013 LHF179 10/13/2017
BOSTON MUTUAL LIFE INSURANCE COMPANY
06/15/2004 LHF135 04/18/2007
BOSTON MUTUAL LIFE INSURANCE COMPANY
07/01/2024 LHF135
CIGNA HEALTH AND LIFE INSURANCE COMPANY
01/20/2017 LHF860
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
04/14/2022 LHF100 02/23/2023
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
12/14/2023 LHF100
COMPANION LIFE INSURANCE COMPANY
11/18/2013 LHF89767
CONCORD HERITAGE LIFE INSURANCE COMPANY INC
02/01/2001 LHF146 01/01/2009
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
11/19/2018 LHF644
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
09/22/2006 LHF193 09/24/2012
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
03/25/2021 LHF193
MAINE DENTAL SERVICE CORP
04/05/2021 NPD29330
MEDICAL LIFE INSURANCE COMPANY
12/01/2003 LHF1016 12/31/2004
PRINCIPAL LIFE INSURANCE COMPANY
08/09/2017 LHF406 11/22/2022
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
07/19/2017 LHF250 08/14/2023
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/18/2023 LHF250
RED TREE INSURANCE COMPANY INC
05/04/2021 LHF174438
RELIANCE STANDARD LIFE INSURANCE COMPANY
05/22/2014 LHF254
SECURIAN LIFE INSURANCE COMPANY
12/04/2006 LHF120264 09/15/2009
STANDARD INSURANCE COMPANY
04/09/2017 LHF991
STARMOUNT LIFE INSURANCE COMPANY
05/29/2019 LHD131525 08/14/2023
TRUSTMARK INSURANCE COMPANY
05/23/2025 LHF132
UNITED OF OMAHA LIFE INSURANCE COMPANY
04/24/2017 LHF28
UNUM INSURANCE COMPANY
05/29/2019 LHD241 08/14/2023
UNUM LIFE INSURANCE COMPANY OF AMERICA
07/19/2017 LHD145 08/14/2023
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/18/2023 LHD145
USABLE LIFE
05/19/2004 LHF91761 11/30/2009
VISION SERVICE PLAN INSURANCE COMPANY
02/17/2015 LHF47545

Authority

Description Issue Date Termination Date Status
HEALTH 08/05/1999 Active
LIFE 08/05/1999 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3355940

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: 06/09/2025 09:05:22 AM