black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GATEWAY RETIREMENT SOLUTIONS

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN285073
Status:
First Licensure:
04/04/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
642 CENTRAL AVE
DOVER, NH 03820-3414
Mailing:
642 CENTRAL AVE
DOVER, NH 03820-3414
Phone:
+1 (603) 509-2981
Fax:
+1 (603) 842-4943
Email:
questions@gatewayrs.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/04/2017 04/01/2027

Alias, DBA or Trade Name

Name
AMERICAN SENIOR BENEFITS

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
03/28/2018 PCF78370 08/06/2018
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/28/2018 PCF445 08/06/2018
INDEPENDENCE AMERICAN INSURANCE COMPANY
10/09/2018 PCF86149 09/21/2023
INTEGON NATIONAL INSURANCE COMPANY
03/05/2018 PCF310

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JESSICA DAWN COLE
03/25/2020 PRR216402
WILLIAM M. DUBOIS
03/25/2020 PRR204810
DAVID W. GODFREY
03/25/2020 PRR121863
MATTHEW E. HERMAN
03/16/2021 PRN103659
BROOKS K. JOHNSON
03/25/2020 PRR205303
WESLEY E. LABELLE
04/04/2017 PRN142186
GAVIN'REECE R. OUELLETTE
03/25/2020 PRR308977
TODD ANDREW PERKINS
03/25/2020 PRR50123
DAVID BRUCE WEAVER
09/23/2020 PRR362128
TERRY A. WITHAM
03/25/2020 PRR338638
GARRETT B. YOUNG
03/25/2020 PRR223346

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
GATEWAY RETIREMENT SOLUTIONS (AUGUSTA, ME)
04/17/2020 BRN352846

Supervised Entity

None.

Responsible Individual

Name License Number
MATTHEW E. HERMAN PRN103659

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18366395

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: 05/17/2025 02:14:01 AM