black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LAKE HOLDINGS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN270554
Status:
First Licensure:
07/07/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
80 WASHINGTON ST STE Q58
NORWELL, MA 02061-1729
Mailing:
80 WASHINGTON ST STE Q58
NORWELL, MA 02061-1729
Phone:
+1 (781) 982-4100
Fax:
+1 (781) 982-2288
Email:
mike@niabrokers.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/07/2016 04/01/2027

Alias, DBA or Trade Name

Name
NIA INSURANCE GROUP

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN NATIONAL INSURANCE COMPANY
10/31/2016 LHF11
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
04/07/2022 LHF374 03/03/2024
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/17/2016 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/28/2021 LHF214634 02/17/2025
MEDICO INSURANCE COMPANY
09/26/2016 LHF520 10/23/2017
MUTUAL OF OMAHA INSURANCE COMPANY
08/24/2016 LHF84 07/24/2017
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
08/05/2016 LHF62021
OMAHA HEALTH INSURANCE COMPANY
05/31/2021 LHF62907 12/27/2024
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY
04/24/2020 LHF789 03/11/2024
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
07/17/2016 LHF58195 01/20/2021
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
01/20/2021 LHF58195 02/17/2025
SILVERSCRIPT INSURANCE COMPANY
11/20/2020 LHF132429
UNITED OF OMAHA LIFE INSURANCE COMPANY
08/24/2016 LHF28 07/24/2017
UNITED OF OMAHA LIFE INSURANCE COMPANY
01/27/2021 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
07/17/2016 LHF700 01/20/2021
UNITEDHEALTHCARE INSURANCE COMPANY
01/20/2021 LHF700 02/17/2025
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/16/2016 LHF983 01/20/2021
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
01/20/2021 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407 02/17/2025
WASHINGTON NATIONAL INSURANCE COMPANY
09/19/2016 LHF294
WELLCARE OF MAINE, INC.
04/07/2022 HMD305081 03/03/2024
WELLCARE PRESCRIPTION INSURANCE INC
04/07/2022 LHF121869 02/29/2024

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JOSEPH G. MURRAY
04/01/2019 PRN16292
MICHAEL ANTHONY MURRAY
07/07/2016 PRN143941
DIANE C. WHITNEY
05/15/2020 PRN354018

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHAEL ANTHONY MURRAY PRN143941

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17969381

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 05:23:20 AM