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DEPARTMENT OF INSURANCE
Affiliations
Name
Goldberg, Jack
DOIID
308808
NAIC NPN
1441565
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Variable Life and Variable Annuities
10/6/2006
7/31/2009
Inactive
Resident
Agent
Health
12/4/2009
7/31/2011
Inactive
Resident
Agent
Health Maintenance Organization
9/21/1984
3/1/2001
Inactive
Resident
Agent
Life
12/4/2009
7/31/2011
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Life Insurance Company
301140
Agent - Health
5/31/1972
10/24/2002
Inactive
Aetna Life Insurance Company
301140
Agent - Life
5/31/1972
10/24/2002
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Health
2/24/1994
12/16/1996
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
2/24/1994
12/16/1996
Inactive
American National Insurance Company
301861
Agent - Health
3/3/2010
7/31/2011
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
3/29/2010
9/13/2011
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/27/1993
7/1/2006
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/27/1993
7/1/2006
Inactive
Citizens Security Life Insurance Company
301257
Agent - Health
3/9/2004
7/1/2006
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
3/9/2004
7/1/2006
Inactive
Clarendon National Insurance Company
300843
Agent - Health
9/20/2000
3/26/2004
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
7/9/2010
7/31/2011
Inactive
Companion Life Insurance Company
300191
Agent - Health
10/15/2001
5/7/2003
Inactive
Companion Life Insurance Company
300191
Agent - Life
10/15/2001
5/7/2003
Inactive
Continental Casualty Company
301019
Agent - Health
12/1/1999
11/29/2004
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
8/13/2010
7/31/2011
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Health
12/20/1993
11/7/2003
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
12/20/1993
11/7/2003
Inactive
First Colony Life Insurance Company
301179
Agent - Health
12/3/2001
7/19/2004
Inactive
First Colony Life Insurance Company
301179
Agent - Life
12/3/2001
7/19/2004
Inactive
Genworth Life Insurance Company
300623
Agent - Health
2/8/2010
7/31/2011
Inactive
Genworth Life Insurance Company
300623
Agent - Life
2/8/2010
7/31/2011
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
9/22/2008
7/31/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
9/22/2008
7/31/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
9/22/2008
7/31/2009
Inactive
Gerber Life Insurance Company
300529
Agent - Health
12/5/1997
2/23/2001
Inactive
Gerber Life Insurance Company
300529
Agent - Life
12/5/1997
2/23/2001
Inactive
Great Southern Life Insurance Company
301443
Agent - Health
12/31/1979
4/24/2002
Inactive
Great Southern Life Insurance Company
301443
Agent - Life
12/31/1979
6/24/2002
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/13/2010
7/31/2011
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
9/21/1984
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
8/13/2010
7/31/2011
Inactive
Humana Insurance Company
301104
Agent - Life
8/13/2010
7/31/2011
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
8/13/2010
7/31/2011
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
8/13/2010
7/31/2011
Inactive
HumanaDental Insurance Company
301457
Agent - Health
8/13/2010
7/31/2011
Inactive
HumanaDental Insurance Company
301457
Agent - Life
8/13/2010
7/31/2011
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
10/20/1992
7/31/2001
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
10/20/1992
7/31/2001
Inactive
John Alden Life Insurance Company
300573
Agent - Health
11/10/2003
7/1/2006
Inactive
John Alden Life Insurance Company
300573
Agent - Life
11/10/2003
7/1/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/7/2007
7/31/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/7/2007
7/31/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
2/8/2010
7/31/2011
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
2/8/2010
7/31/2011
Inactive
Kanawha Insurance Company
300127
Agent - Health
8/13/2010
7/31/2011
Inactive
Kanawha Insurance Company
300127
Agent - Life
8/13/2010
7/31/2011
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Health
12/1/1998
12/30/2004
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Life
12/1/1998
12/30/2004
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
8/28/2000
7/1/2006
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
8/28/2000
7/1/2006
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
2/18/2010
9/7/2010
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
2/18/2010
9/7/2010
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
3/29/2010
9/20/2010
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
3/29/2010
7/31/2011
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
6/10/1997
8/31/2004
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
6/10/1997
8/31/2004
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
10/13/1995
3/31/1997
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
10/13/1995
3/31/1997
Inactive
Midland National Life Insurance Company
300923
Agent - Health
3/6/2007
8/22/2007
Inactive
Midland National Life Insurance Company
300923
Agent - Life
3/6/2007
8/22/2007
Inactive
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
8/12/2002
7/1/2006
Inactive
Nassau Life Insurance Company
301406
Agent - Health
8/3/1989
12/31/1998
Inactive
Nassau Life Insurance Company
301406
Agent - Life
8/3/1989
12/31/1998
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
5/3/2004
7/5/2005
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
5/3/2004
7/5/2005
Inactive
New England Life Insurance Company
300343
Agent - Health
4/16/1997
8/31/2004
Inactive
New England Life Insurance Company
300343
Agent - Life
4/16/1997
8/31/2004
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
3/26/2010
7/31/2011
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
3/17/1997
4/17/2000
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Health
7/23/1997
7/1/2006
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
7/23/1997
7/1/2006
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/6/1985
7/1/2006
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/6/1985
7/1/2006
Inactive
Protective Life Insurance Company
300638
Agent - Health
5/14/1998
12/15/2003
Inactive
Protective Life Insurance Company
300638
Agent - Life
5/14/1998
12/15/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
5/2/2000
1/3/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
5/2/2000
1/3/2003
Inactive
Security Life Insurance Company of America
300936
Agent - Health
5/8/2000
12/6/2002
Inactive
Security Life Insurance Company of America
300936
Agent - Life
5/8/2000
12/6/2002
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
11/27/2000
7/1/2006
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
11/27/2000
7/1/2006
Inactive
Symetra Life Insurance Company
301691
Agent - Health
3/28/1995
6/25/2001
Inactive
Symetra Life Insurance Company
301691
Agent - Life
3/28/1995
6/25/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
2/12/1982
7/1/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/12/1982
7/1/2006
Inactive
Time Insurance Company
300683
Agent - Health
8/30/1983
12/10/2004
Inactive
Time Insurance Company
300683
Agent - Life
8/30/1983
12/10/2004
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
2/25/2010
7/31/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
2/25/2010
7/31/2011
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
6/8/2000
4/11/2003
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
6/15/2000
11/7/2002
Inactive
Union Security Insurance Company
301844
Agent - Health
12/12/1994
12/31/2000
Inactive
Union Security Insurance Company
301844
Agent - Life
12/12/1994
12/31/2000
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/18/2010
7/31/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/18/2010
7/31/2011
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
10/12/2001
11/21/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
10/12/2001
11/21/2005
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
10/16/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
10/16/1995
3/31/1997
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
6/22/2007
7/31/2009
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
6/22/2007
7/31/2009
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
6/22/2007
7/31/2009
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
3/6/2007
12/17/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
3/6/2007
12/17/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
3/6/2007
12/17/2008
Inactive
Woodmen Accident and Life Company
300147
Agent - Health
8/21/1996
6/28/2000
Inactive
Woodmen Accident and Life Company
300147
Agent - Life
8/21/1996
6/28/2000
Inactive
World Insurance Company
300396
Agent - Health
10/16/1990
1/3/1997
Inactive
World Insurance Company
300396
Agent - Life
10/16/1990
1/3/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
1/29/2001
2/28/2003
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
1/29/2001
2/28/2003
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
Medlink Inc
400721
Agent - Life
2/4/2004
7/1/2006
Inactive
Medlink Inc
400721
Agent - Health
2/4/2004
7/1/2006
Inactive
Professional Insurance Marketers Inc.
400645
Agent - Life
4/26/1983
5/31/2003
Inactive
Professional Insurance Marketers Inc.
400645
Agent - Health
4/26/1983
5/31/2003
Inactive
Professional Insurance Marketers Inc.
400645
Agent - Health Maintenance Organization
10/15/1985
3/1/2001
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