DEPARTMENT OF INSURANCE

Affiliations

Name	Black Gould & Assoc Inc	DOIID	1048488	NAIC NPN	954035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/24/2019	3/31/2027
Active	Non Resident	Agent	Life	7/24/2019	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	5/6/2025	3/2/2026
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	12/19/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	3/29/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/23/2023	3/19/2026
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/12/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/11/2024
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	2/1/2024
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	2/1/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	8/13/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	8/13/2019
Active	Insurance Company of North America	300226	Agent - Health	11/30/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/19/2025
Active	National Health Insurance Company	300554	Agent - Health	12/16/2025
Active	National Health Insurance Company	300554	Agent - Life	12/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/12/2026
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/12/2026
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	12/9/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gould, William Bradford	381265	Agent - Health	7/24/2019	5/20/2025
Inactive	Gould, William Bradford	381265	Agent - Life	7/24/2019	5/20/2025
Active	Nelson, John Jeffrey	830296	Agent - Health	5/20/2025
Active	Nelson, John Jeffrey	830296	Agent - Life	5/20/2025