black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CORPORATE SYNERGIES GROUP LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN126663
Status:
First Licensure:
04/27/2006
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2 AQUARIUM DR STE 200
CAMDEN, NJ 08103-1000
Mailing:
2 AQUARIUM DR STE 200
CAMDEN, NJ 08103-1000
Phone:
+1 (856) 996-2510
Fax:
+1 (856) 996-2520
Email:
licensinginfo@foundationrp.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/27/2006 04/01/2027

Alias, DBA or Trade Name

Name
GARY WOOD ASSOCIATES
KINLOCH CONSULTING GROUP

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
08/11/2006 HMD45749
AETNA LIFE INSURANCE COMPANY
08/11/2006 LHF621
ALL SAVERS INSURANCE COMPANY
02/03/2025 LHF233900
ALLIED WORLD INSURANCE COMPANY
02/18/2014 PCF54304
ALLIED WORLD SPECIALTY INSURANCE COMPANY
02/18/2014 PCF108064
AMERICAN PET INSURANCE COMPANY
05/26/2020 PCF204502 12/19/2023
ARCH INSURANCE COMPANY
01/21/2020 PCF62719
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
03/18/2014 LHF100
HUMANA INSURANCE COMPANY
07/29/2010 LHF980 05/04/2015
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873 11/20/2014
INDEPENDENCE AMERICAN INSURANCE COMPANY
08/25/2023 PCF86149
MAINE DENTAL SERVICE CORP
07/01/2006 NPD29330
NATIONWIDE LIFE INSURANCE COMPANY
10/10/2023 LHF29
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/28/2007 LHF250
RED TREE INSURANCE COMPANY INC
02/17/2022 LHF174438
TRUSTMARK INSURANCE COMPANY
08/16/2024 LHF132
UNITEDHEALTHCARE INSURANCE COMPANY
02/03/2025 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
02/03/2025 HMF393375
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/28/2007 LHD145

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
WARD R. BAUMAN
11/10/2010 PRN184501
ANDREW R. BLOOM
07/06/2018 PRN312348
MICHAEL T. LISA
10/17/2022 PRN161828
JEFFREY P. MILLER
09/03/2008 PRN157560
STEVEN A. SCHWARTZ
10/17/2022 PRN159850
STEPHANIE J. WARD
07/22/2010 PRN179736
RONALD P. WEISS
08/30/2008 PRN157537

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
CORPORATE SYNERGIES GROUP LLC (BETHESDA MD)
02/27/2012 BRN200420
CORPORATE SYNERGIES GROUP LLC (KING OF PRUSSIA PA)
03/15/2007 BRN137705
CORPORATE SYNERGIES GROUP LLC (MELVILLE NY)
02/27/2012 BRN200421
CORPORATE SYNERGIES GROUP LLC (NEW YORK NY)
02/27/2012 BRN200422
CORPORATE SYNERGIES GROUP LLC (ORLANDO FL)
02/27/2012 BRN200423

Supervised Entity

None.

Responsible Individual

Name License Number
ANDREW R. BLOOM PRN312348

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8282083

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: 05/15/2025 01:18:46 PM