black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACCESS ENROLLMENT SOLUTIONS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN277700
Status:
First Licensure:
10/26/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
33 LANDAU RD
PLAINVILLE, MA 02762-5007
Mailing:
33 LANDAU RD
PLAINVILLE, MA 02762-5007
Phone:
+1 (508) 481-2600
Fax:
+1 (508) 481-2602
Email:
dan@accessenroll.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/26/2016 04/01/2027

Alias, DBA or Trade Name

Name
ACCESS ENROLL

Employer

Name Issue Date License Number Expiration Date Cancel Date
BOSTON MUTUAL LIFE INSURANCE COMPANY
05/03/2017 LHF135
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/17/2017 LHF250
STARMOUNT LIFE INSURANCE COMPANY
06/13/2017 LHD131525
UNUM INSURANCE COMPANY
05/29/2019 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/17/2017 LHD145

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DANIEL PATRICK CLARK
10/26/2016 PRN132893
MAUREEN SNOW
04/11/2017 PRN190616

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DANIEL PATRICK CLARK PRN132893

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17875982

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: 05/16/2025 10:33:36 PM