Agency Information

CATALYST360 LLC

Address:

4 WALNUT GROVE DR

HORSHAM, PA 19044-2201

Phone

215-653-8106

URL:

Email:

optum.license.management@optum.com

National Producer Number:

9125053

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	557911	09/06/2007	Active	04/07/2011	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/06/2007	Active	04/07/2011
Life	09/06/2007	Active	04/07/2011

Company Name	Appointment Type	Status	Active Date
144156
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	07/20/2021
203
Company Name	Appointment Type	Status	Active Date
DELTA DENTAL INSURANCE COMPANY	Health	Active	06/14/2019
161850
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	Health	Active	07/20/2021
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	02/06/2018

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
JEFFREY N BERGEN	Designated Resp Lic Prdcr	No	01/31/2023	-
MICHAEL JOHN CARUSO	Designated Resp Lic Prdcr	Yes	10/04/2023	-
TARA L RICHIE	Designated Resp Lic Prdcr	Yes	05/08/2023	-

1 - 3