black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BAYSTATE FINANCIAL SERVICES INS AGENCY LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN115113
Status:
First Licensure:
06/16/2005
Cancel Date:
07/01/2015
Renewal Date:
07/01/2015

Street Location:
699 BOYLSTON ST STE 1400
BOSTON, MA 02116-4814
Mailing:
200 CLARENDON ST STE 19
BOSTON, MA 02116-5039
Phone:
+1 (508) 890-6226
Fax:
+1 (617) 663-6097
Email:
dsmith@baystatefinancial.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/16/2005 06/30/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
07/26/2005 HMD45749 07/01/2015
AETNA LIFE INSURANCE COMPANY
07/26/2005 LHF621 07/01/2015
ANTHEM HEALTH PLANS OF MAINE INC.
10/22/2009 LHD70566 07/01/2015
ANTHEM LIFE INSURANCE COMPANY
10/22/2009 LHF70467 07/01/2015
BOSTON MUTUAL LIFE INSURANCE COMPANY
01/07/2010 LHF135 01/10/2013
DEARBORN LIFE INSURANCE COMPANY
10/07/2011 LHF919 10/21/2013
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
02/02/2006 LHF193 07/01/2015
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
10/27/2011 LHF619 07/01/2015
MAINE DENTAL SERVICE CORP
04/01/2009 NPD29330 06/01/2014
PRINCIPAL LIFE INSURANCE COMPANY
06/14/2011 LHF406 07/01/2015
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/25/2010 LHF250 07/01/2015
SECURIAN LIFE INSURANCE COMPANY
07/30/2012 LHF120264 03/22/2013
STANDARD INSURANCE COMPANY
06/01/2007 LHF991 07/01/2015
SUN LIFE AND HEALTH INSURANCE COMPANY (US)
03/25/2008 LHF857 01/11/2013
SUN LIFE ASSURANCE COMPANY OF CANADA - US BRANCH
06/22/2009 LHF271 01/11/2013
UNION SECURITY INSURANCE COMPANY
06/08/2007 LHF295 03/15/2013
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/25/2010 LHD145 07/01/2015

Affiliated Agent

None.

Branch Office

None.

Supervised Entity

None.

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5438218

Other Phone Numbers

Phone Number Type
+1 (617) 262-4359 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: 12/12/2025 02:10:55 PM