DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mybrokeragewerks Insurance Services, LLC	DOIID	1061656	NAIC NPN	17790120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/18/2019		3/31/2027
* 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
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/23/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Life	10/4/2023
Active	Nassau Life and Annuity Company	513671	Agent - Life	10/18/2019
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022	5/3/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sheen, Andrew	1292171	Agent - Life	6/3/2025
Inactive	Wolfe, Elizabeth Karen	826982	Agent - Life	10/18/2019	6/3/2025