black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INNOVATIVE BPS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN456220
Status:
First Licensure:
07/08/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
18111 PRESTON RD STE 610
DALLAS, TX 75252-6142
Mailing:
18111 PRESTON RD STE 610
DALLAS, TX 75252-6142
Phone:
+1 (972) 905-0558
Fax:
+1 (205) 729-6899
Email:
admin@innovativebps.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/08/2023 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/30/2024 LHF306110 04/08/2025
ANTHEM HEALTH PLANS OF MAINE INC.
10/11/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
10/11/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
10/11/2023 LHF70467 04/11/2025
CONTINENTAL AMERICAN INSURANCE COMPANY
05/13/2024 LHF80843
FIDELITY SECURITY LIFE INSURANCE COMPANY
06/04/2024 LHF972 07/23/2025
NATIONWIDE LIFE INSURANCE COMPANY
11/27/2024 LHF29
UNITEDHEALTHCARE INSURANCE COMPANY
10/14/2025 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
10/14/2025 HMF393375

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID AZOSE
09/18/2025 PRN527665
ABRAHAM BENGUIGUI SULTAN
01/03/2025 PRN504728
ANAT GOLDSTEIN
07/08/2023 PRN455378
LIOR CHAOUL GOLDSTEIN
01/03/2025 PRN476933
MANASSEH WAYNE GROGAN
01/16/2025 PRN505725
SHLOMO LOWENSTEIN
12/27/2024 PRN504378

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
LIOR CHAOUL GOLDSTEIN PRN476933

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20584685

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: 11/04/2025 11:32:26 PM