| Entity Name: | INSURANCE PROVIDER GROUP, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 Apr 2016 |
| Business ALEI: | 1200738 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524210 - Insurance Agencies and Brokerages |
| Business address: | 29 South Main, West Hartford, CT, 06107, United States |
| Mailing address: | 29 South Main, 300, West Hartford, CT, United States, 06107 |
| ZIP code: | 06107 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | kristin.guglielmo@nfp.com |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| PATRICK R. WALSH | Officer | 29 South Main street, 300, West Hartford, CT, 06107, United States | No data | No data | 2 SHAD ROW, MIDDLE HADDAM, CT, 06456, United States |
| AUGUSTO RUSSELL | Officer | 100 GREAT MEADOW ROAD STE 705, WETHERSFIELD, CT, 06109, United States | +1 860-817-3100 | augusto@insuranceprovidergroup.com | 36 MAPLE RIDGE DR, FARMINGTON, CT, 06032, United States |
| ROLLIN SCHUSTER | Officer | 29 South Main street, 300, West Hartford, CT, 06107, United States | No data | No data | 200 MYRTLE STREET, NEW BRITAIN, CT, 06053, United States |
| KRISTIN GUGLIELMO | Officer | 29 South Main street, West Hartford, CT, 06107, United States | No data | No data | 12 GOODELL ROAD, STAFFORD SPRINGS, CT, 06067, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| AUGUSTO RUSSELL | Agent | 29 South Main street, 300, West Hartford, CT, 06107, United States | 29 South Main street, 300, West Hartford, CT, 06107, United States | +1 860-817-3100 | augusto@insuranceprovidergroup.com | 36 MAPLE RIDGE DR, FARMINGTON, CT, 06032, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012422021 | 2024-02-13 | No data | Annual Report | Annual Report | No data |
| BF-0011445699 | 2023-01-26 | No data | Annual Report | Annual Report | No data |
| BF-0010237925 | 2022-01-13 | No data | Annual Report | Annual Report | 2022 |
| 0007255479 | 2021-03-24 | No data | Annual Report | Annual Report | 2021 |
| 0006835634 | 2020-03-17 | No data | Annual Report | Annual Report | 2020 |
| 0006472927 | 2019-03-18 | No data | Annual Report | Annual Report | 2019 |
| 0006131534 | 2018-03-20 | No data | Annual Report | Annual Report | 2018 |
| 0005898069 | 2017-07-31 | 2017-07-31 | Change of Agent Address | Agent Address Change | No data |
| 0005823868 | 2017-04-21 | No data | Annual Report | Annual Report | 2017 |
| 0005547566 | 2016-04-13 | 2016-04-13 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
