black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN ROBERT PETTENGILL

PRODUCER NON-RESIDENT

License Number:
PRN314030
Status:
First Licensure:
08/03/2018
Cancel Date:
None

Mailing:
SPRINGFIELD, MA 01104
Phone:
+1 (413) 693-1649
Email:
kvadnais@completepayrollsolutions.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/03/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
COMPLETE BENEFIT SOLUTIONS, LLC
08/21/2018 AGN315194
ISOLVED NATIONAL BROKER SERVICES, INC.
01/31/2025 AGN124218

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
02/07/2022 LHD70566 04/08/2024
ANTHEM LIFE INSURANCE COMPANY
02/07/2022 LHF70467 04/08/2024
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
11/21/2022 LHF644
UNITED OF OMAHA LIFE INSURANCE COMPANY
04/11/2022 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
08/22/2018 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375

Authority

Description Issue Date Termination Date Status
HEALTH 08/03/2018 Active
LIFE 08/03/2018 Active

Responsible For

Name License Number
COMPLETE BENEFIT SOLUTIONS, LLC AGN315194

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
395919

Other Addresses

Address Type
SPRINGFIELD, MA 01104
Office

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: 06/17/2025 08:34:37 AM