black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOUGLAS R. MANTZ

PRODUCER NON-RESIDENT

License Number:
PRN70131
Status:
First Licensure:
05/31/2000
Cancel Date:
None

Mailing:
WEST HARTFORD, CT 06117
Phone:
+1 (860) 674-0501
Fax:
+1 (860) 674-4577
Email:
doug.mantz@aon.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/31/2000

Agency

Name Issue Date License Number Expiration Date Cancel Date
AON CONSULTING, INC.
05/26/2020 AGN63149
THE FARMINGTON COMPANY
05/31/2000 AGN12383 07/01/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
08/11/2003 LHF645 03/26/2018
AMERICAN HERITAGE LIFE INSURANCE COMPANY
05/22/2018 LHF594 04/12/2022
AMERICAN HERITAGE LIFE INSURANCE COMPANY
05/20/2022 LHF594
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/03/2002 LHF250 03/01/2016
RELIASTAR LIFE INSURANCE COMPANY
05/31/2000 LHF22 08/05/2016
RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK
05/31/2000 LHF635 06/25/2008
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK
01/16/2020 LHF262
TRUSTMARK INSURANCE COMPANY
11/17/2019 LHF132 06/18/2022
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/03/2002 LHD145 03/01/2016

Authority

Description Issue Date Termination Date Status
CASUALTY 06/18/2019 Active
HEALTH 05/31/2000 Active
LIFE 05/31/2000 Active
PROPERTY 06/18/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
964788

Other Addresses

Address Type
30 WATERSIDE DR
FARMINGTON, CT 06032-3069
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: 01/13/2026 10:46:03 PM