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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

WILLIAM FORTIN

PRODUCER NON-RESIDENT

License Number:
PRN259816
Status:
First Licensure:
11/04/2015
Cancel Date:
None

Mailing:
BETHANY, CT 06524
Phone:
+1 (203) 229-6229
Fax:
+1 (212) 948-1574
Email:
william.fortin@mercer.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/04/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
MERCER HEALTH & BENEFITS LLC
11/04/2015 AGN113379

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
03/01/2020 LHD70566

Authority

Description Issue Date Termination Date Status
HEALTH 11/04/2015 Active
LIFE 11/04/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2431993

Other Addresses

Address Type
601 MERRITT 7
NORWALK, CT 06851-1091
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: 06/18/2026 07:00:13 AM