Agency Information

CORPORATE SYNERGIES GROUP LLC

2 AQUARIUM DRIVE

CAMDEN, NJ 08103

856-813-1500

licensing@corpsyn.com

8282083

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	18608	11/04/2004	Active	11/04/2004	11/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	11/04/2004	Active	11/04/2004
Life	11/04/2004	Active	11/04/2004

Company Name	Appointment Type	Status	Active Date
82
AMERICAN UNITED LIFE INSURANCE COMPANY	Health	Active	03/27/2019
	Life	Active	03/27/2019
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Health	Active	01/21/2020
505
Company Name	Appointment Type	Status	Active Date
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	05/15/2019
163
Company Name	Appointment Type	Status	Active Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY	Health	Active	09/28/2023
	Life	Active	09/28/2023
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	09/19/2023
	Life	Active	09/19/2023
552
Company Name	Appointment Type	Status	Active Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY	Health	Active	10/16/2017
	Life	Active	10/16/2017
18304
Company Name	Appointment Type	Status	Active Date
STARMOUNT LIFE INSURANCE COMPANY	Health	Active	05/17/2019
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	10/18/2016
	Life	Active	10/18/2016
517
Company Name	Appointment Type	Status	Active Date
UNUM INSURANCE COMPANY	Health	Active	05/17/2019
	Life	Active	05/17/2019
670
Company Name	Appointment Type	Status	Active Date
UNUM LIFE INSURANCE COMPANY OF AMERICA	Health	Active	10/16/2017
	Life	Active	10/16/2017

row(s) 1 - 17 of 17

Name	Association Type	Agent	Begin Date	End Date
ANDREW R BLOOM	Designated Resp Lic Prdcr	Yes	07/01/2021	-

1 - 1