Agency Information

COLLABORATIVE PLANNING GROUP, INC.

Address:

111 N 181 STREET, SUITE 202

ELKHORN, NE 68022

Phone

402-881-0274

URL:

Email:

admin@collaborativeinsures.com

National Producer Number:

17882168

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3656571	04/09/2021	Active	04/09/2021	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/09/2021	Active	04/09/2021
Life	04/09/2021	Active	04/09/2021

Company Name	Appointment Type	Status	Active Date
1453
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	Health	Active	03/15/2023
	Life	Active	03/15/2023
1160
Company Name	Appointment Type	Status	Active Date
PENN INSURANCE AND ANNUITY COMPANY	Life	Active	04/09/2021
519
Company Name	Appointment Type	Status	Active Date
PENN MUTUAL LIFE INSURANCE COMPANY	Life	Active	04/09/2021

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
ERYKA MOREHEAD	Designated Resp Lic Prdcr	No	04/09/2021	-

1 - 1