DEPARTMENT OF INSURANCE

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	Designated Home State
Inactive	Non Resident	Agent	Health	9/6/2013	12/1/2016
Inactive	Non Resident	Agent	Life	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.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	44 Forge Lane Marshfield, MA 02050

Internet Information

Type	Address
Business Email	dboisvert@gwglobalins.net - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(617) 502-3024