black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THE PAUL REVERE LIFE INSURANCE COMPANY

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
LHF240
Status:
First Licensure:
10/30/1930
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
67598

Street Location:
1 MERCANTILE ST
WORCESTER, MA 01608-3100
Mailing:
SUSAN MARTIN
UNUM PROVIDENT CORPORATION
1 FOUNTAIN SQ
CHATTANOOGA, TN 37402-1307
Phone:
+1 (800) 633-7491

History

License Type Start Date End Date
INSURANCE COMPANY 10/30/1930 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
LINDA R. HARRISON
08/31/2016 PRN61821
FREDERICK WILLIAM HOWARTH III
08/15/1997 PRN45474

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT APPOINTMENT RENEWALS
APPOINTMENT RENEWALS
1 FOUNTAIN SQ # 3W331
CHATTANOOGA, TN 37402-1306
Email: pcsappointpaksupport@unum.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

Case Action Taken Date
RIRS-1309 Consent Order 03/01/2001

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
67598

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: 05/13/2025 05:18:45 PM