Agency Information

Lightwell Insurance Advisors of Arizona, LLC

Address:

6400 BROTHERHOOD WAY

FORT WAYNE, IN 46825

Phone

800-333-3735

URL:

Email:

affiliatescompliance@brotherhoodmutual.com

National Producer Number:

10163043

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3395554	11/20/2018	Active	11/20/2018	11/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	11/20/2018	Active	11/20/2018
Health	11/20/2018	Active	11/20/2018
Life	11/20/2018	Active	11/20/2018
Property	11/20/2018	Active	11/20/2018

Company Name	Appointment Type	Status	Active Date
1768
BROTHERHOOD MUTUAL INSURANCE COMPANY	Casualty	Active	05/05/2020
	Health	Active	05/05/2020
	Property	Active	05/05/2020

row(s) 1 - 3 of 3

Name	Association Type	Agent	Begin Date	End Date
GABRIEL STEPHEN BROWN	Designated Resp Lic Prdcr	Yes	02/17/2021	-
KEVIN JOHN NORTON	Designated Resp Lic Prdcr	No	10/04/2024	-

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