DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/24/2019		3/31/2027
Active	Non Resident	Agent	Health	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	5/6/2025
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
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
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/23/2023
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	SilverScript Insurance Company	663526	Agent - Health	5/22/2020
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