DEPARTMENT OF INSURANCE

Affiliations

Name	Grossbard, Joshua Michael	DOIID	1378667	NAIC NPN	20783010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/3/2025	12/31/2027
Active	Non Resident	Agent	Life	1/3/2025	12/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Tis Ins Services Inc	523150	Agent - Life
Pending	Tis Ins Services Inc	523150	Agent - Health