black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOUGLASS LLOYD TRACY

PRODUCER NON-RESIDENT

License Number:
PRN19175
Status:
First Licensure:
12/16/1985
Cancel Date:
None

Mailing:
HOPKINTON, MA 01748
Phone:
+1 (860) 659-1323
Email:
dlt@pwb-mmip.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/30/2004
*** NOT ACTIVE *** 03/15/1997 06/29/2004
PRODUCER NON-RESIDENT 12/16/1985 03/14/1997

Agency

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYEE FAMILY PROTECTION INC
07/16/1990 AGN21093 03/15/1997
EMPLOYEE FAMILY PROTECTION INC
06/30/2004 AGN21093

Employer

Name Issue Date License Number Expiration Date Cancel Date
BOSTON MUTUAL LIFE INSURANCE COMPANY
02/05/2009 LHF135 02/28/2011
BOSTON MUTUAL LIFE INSURANCE COMPANY
07/12/2016 LHF135 08/28/2025
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
10/31/2008 LHF100
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
08/17/2011 LHF193 10/24/2017
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK
01/09/2007 LHF262 03/02/2011
TRANSAMERICA LIFE INSURANCE COMPANY
02/18/2010 LHF726 03/03/2011

Authority

Description Issue Date Termination Date Status
HEALTH 06/30/2004 Active
LIFE 06/30/2004 Active
LIFE AND HEALTH 01/01/1901 03/15/1997 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
402572

Other Addresses

Address Type
HOPKINTON, MA 01748
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: 04/01/2026 06:18:32 AM