DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldstein, Mark David	DOIID	1202993	NAIC NPN	8629327

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/4/2022		11/30/2024
Active	Non Resident	Agent	Life	5/4/2022		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/9/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/9/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	5/9/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2022	12/22/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/8/2022	12/22/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/8/2022	12/22/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	12/20/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2022	12/22/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/9/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/29/2022	12/20/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/29/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/29/2022	12/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Healthcompare Ins Services Inc	708319	Agent - Life
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	5/9/2022	8/22/2022
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	6/2/2023	12/22/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/2/2023	4/8/2024