| Entity Name: | HEALTHCARE PROVIDER INSURANCE SERVICES, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 12 Mar 1999 |
| Date of dissolution: | 14 Feb 2018 |
| Business ALEI: | 0616055 |
| Business address: | 1147 HIGH STREET, FAIRFIELD, CT, 06824 |
| Mailing address: | P. O. BOX 320309, FAIRFIELD, CT, 06825 |
| ZIP code: | 06824 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | bobphpis@mindspring.com |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT B. PRICE | Agent | 69 EAST AVENUE, NORWALK, CT, 06852, United States | 1147 HIGH STREET, FAIRFIELD, CT, 06430, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT BENJAMIN PRICE | Officer | 1147 HIGH STREET, FAIRFIELD, CT, 06824, United States | 1147 HIGH ST, FAIRFIELD, CT, 06824, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | HEALTH PROVIDER INSURANCE SERVICES, LLC | HEALTHCARE PROVIDER INSURANCE SERVICES, LLC | 2000-04-26 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006078502 | 2018-02-14 | 2018-02-14 | Dissolution | Certificate of Dissolution | No data |
| 0005790116 | 2017-03-10 | No data | Annual Report | Annual Report | 2016 |
| 0005790114 | 2017-03-10 | No data | Annual Report | Annual Report | 2015 |
| 0005283953 | 2015-02-24 | No data | Annual Report | Annual Report | 2014 |
| 0005053778 | 2014-03-03 | No data | Annual Report | Annual Report | 2013 |
| 0004809714 | 2013-02-26 | No data | Annual Report | Annual Report | 2012 |
| 0004521669 | 2012-02-08 | No data | Annual Report | Annual Report | 2011 |
| 0004123355 | 2010-03-17 | No data | Annual Report | Annual Report | 2010 |
| 0003881816 | 2009-03-10 | No data | Annual Report | Annual Report | 2009 |
| 0003643959 | 2008-03-18 | No data | Annual Report | Annual Report | 2008 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
