black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BAYSTATE BENEFIT SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN89407
Status:
First Licensure:
09/20/2002
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
400 WASHINGTON ST STE 400
BRAINTREE, MA 02184-4767
Mailing:
400 WASHINGTON ST STE 400
BRAINTREE, MA 02184-4767
Phone:
+1 (781) 356-0717
Fax:
+1 (781) 356-7365
Email:
edaigle@baystatebenefits.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/20/2002 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
01/04/2024 LHF233900
CANADA LIFE ASSURANCE COMPANY-THE
11/06/2003 LHF939 01/14/2005
HUMANA INSURANCE COMPANY
11/13/2012 LHF980 05/04/2015
HUMANADENTAL INSURANCE COMPANY
11/13/2012 LHF173873 11/20/2014
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY
05/17/2004 LHF933 07/02/2007
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
06/30/2007 LHF619
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
04/30/2021 LHF84860
UNITEDHEALTHCARE INSURANCE COMPANY
01/04/2024 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
01/04/2024 HMF393375

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ROBERT DAVID JACOBS
09/20/2002 PRN88899

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ROBERT DAVID JACOBS PRN88899

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3407460

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 06:45:51 AM