black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BROKER GROUP LLC (THE)

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN510651
Status:
First Licensure:
03/18/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
21255 BURBANK BLVD STE 120
WOODLAND HILLS, CA 91367-6669
Mailing:
21255 BURBANK BLVD STE 120
WOODLAND HILLS, CA 91367-6669
Phone:
+1 (888) 824-9123
Fax:
+1 (818) 337-2965
Email:
contracting@tbgdash.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/18/2025 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN NATIONAL INSURANCE COMPANY
05/20/2025 LHF11
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
04/27/2025 LHF168
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
01/22/2026 LHF62021
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
05/04/2025 LHF231

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JOSEPH RAFAEL MEJIA
07/25/2025 PRN521816

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JOSEPH RAFAEL MEJIA PRN521816

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21516543

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/30/2026 11:29:52 PM