DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Broadway Benefits Group LLC	DOIID	1222862	NAIC NPN	20418105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/12/2022	3/31/2024
Inactive	Non Resident	Agent	Health	8/12/2022	3/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	10/18/2022	6/23/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/18/2022	6/23/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/23/2022	3/31/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/23/2022	3/31/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/18/2022	5/11/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/17/2023	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blackwell, Tim S	758055	Agent - Health	8/12/2022	3/31/2024
Inactive	Blackwell, Tim S	758055	Agent - Life	8/12/2022	3/31/2024