DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	GW Global Ins LLC	DOIID	819821	NAIC NPN	16782708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/6/2013	12/1/2016
Inactive	Non Resident	Agent	Health	9/6/2013	12/1/2016
* 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	AXIS Insurance Company	301290	Agent - Health	1/28/2015	12/1/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boisvert, Daniel George	541797	Agent - Health	9/6/2013	9/30/2016
Inactive	Boisvert, Daniel George	541797	Agent - Life	9/6/2013	9/30/2016