DEPARTMENT OF INSURANCE

Affiliations

Name	Bridgeworth Financial LLC	DOIID	873816	NAIC NPN	16903782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	4/2/2015	10/1/2016
Inactive	Non Resident	Agent	Health	4/2/2015	10/1/2016
Inactive	Non Resident	Agent	Life	4/2/2015	10/1/2016
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	4/13/2015	10/1/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/13/2015	10/1/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/13/2015	10/1/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/13/2015	10/1/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zell, Delynn Moring	321649	Agent - Health	4/2/2015	7/31/2016
Inactive	Zell, Delynn Moring	321649	Agent - Life	4/2/2015	7/31/2016
Inactive	Zell, Delynn Moring	321649	Agent - Variable Life and Variable Annuities	4/2/2015	7/31/2016