DEPARTMENT OF INSURANCE

Affiliations

Name	Grothaus Financial Group, L.L.C.	DOIID	804924	NAIC NPN	16903487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Variable Life and Variable Annuities
Inactive	Resident	Agent	Life	3/4/2013	3/31/2019
Inactive	Resident	Agent	Health	3/4/2013	3/31/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/27/2013	5/4/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/27/2013	5/4/2015
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/6/2013	4/12/2014
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/6/2013	4/12/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/6/2013	4/12/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/6/2013	4/12/2014
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/31/2017	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grothaus, Dennis Frank	506386	Agent - Health	3/4/2013	3/31/2019
Inactive	Grothaus, Dennis Frank	506386	Agent - Life	3/4/2013	3/31/2019