black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LIFERAFT INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN386330
Status:
First Licensure:
06/19/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
251 RHODE ISLAND ST STE 107
SAN FRANCISCO, CA 94103-5168
Mailing:
251 RHODE ISLAND ST STE 107
SAN FRANCISCO, CA 94103-5168
Phone:
+1 (571) 228-7478
Fax:
+1 (571) 228-7478
Email:
nimish@liferaft.co

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/19/2021 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERITAS LIFE INSURANCE CORP
10/12/2022 LHF944

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BRIAN BERMAN
06/10/2022 PRN420679
MATTHEW ALEXANDER HOLLAND
09/02/2021 PRN394147
NIMISH SHUKLA
06/19/2021 PRN270885
JULIANA WANG
10/02/2021 PRN398404

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
NIMISH SHUKLA PRN270885

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19670044

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: 07/03/2026 07:04:29 AM