Notification of Changes for Business Entity
General Information
Business Entity Name:	MML INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	04-3109325
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	HAMPDEN
Business Address
Address 1:	1295 STATE STREET
Address 2:
City:	SPRINGFIELD
State:	MA
Zip:	01111
Phone:	8007671000
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1295 STATE STREET
Address 2:
City:	SPRINGFIELD
State:	MA
Zip:	01111
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	YES

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
MICHAEL KESSLING	PRODUCER	9307596	YES		6/19/2017
ANTHONY PEEBLES	PRODUCER	13102787	YES		7/12/2017
NICOLO PLATAS	PRODUCER	1498191	YES		7/19/2017
ROBERT LESTER	PRODUCER	933155		YES	7/20/2017
GINA PALAZZO	PRODUCER	17892778		YES	7/24/2017
ELIZABETH GARRIGA OSBURN	PRODUCER	13353183		YES	7/7/2017
MICHAEL GRAVES	PRODUCER	5327106		YES	7/31/2017
BALA SUBRAMANIAN	PRODUCER	2113207		YES	6/5/2017
MICHAEL JOKSIMOVIC	PRODUCER	1471566		YES	7/24/2017
PATRICK GAUGHAN	PRODUCER	15766599		YES	7/24/2017
JOSEPH JOHNSON	PRODUCER	1891431		YES	7/24/2017
SHAWN EDELEN	PRODUCER	15641536		YES	7/24/2017
SCOTT LAUER	PRODUCER	7461964		YES	8/4/2017
STEPHANIE KARPOW	PRODUCER	14186950		YES	7/20/2017
CARLTON ANDERSON	PRODUCER	8382478		YES	7/6/2017

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	JOHN ROGAN
Title:	AVP
Phone Number:	800-767-1000
Email Address:	JROGAN@MASSMUTUAL.COM