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DEPARTMENT OF INSURANCE
Affiliations
Name
Goldberg, David Ross
DOIID
323062
NAIC NPN
1469132
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Administrator
Not Applicable
6/17/1993
5/31/2024
Inactive
Resident
Agent
Health Maintenance Organization
6/15/1998
3/1/2001
Inactive
Resident
Agent
Variable Life and Variable Annuities
9/6/2001
5/31/2024
Inactive
Resident
Agent
Life
5/5/1989
5/31/2024
Inactive
Resident
Agent
Health
7/11/1989
5/31/2024
AFFIDAVIT ON FILE
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
4/7/1999
11/20/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/7/1999
11/20/2007
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
2/1/2011
4/8/2021
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
2/1/2011
4/8/2021
Inactive
American General Assurance Company
300586
Agent - Health
12/31/2002
12/31/2012
Inactive
American General Assurance Company
300586
Agent - Life
12/31/2002
12/31/2012
Inactive
American General Life Insurance Company
301585
Agent - Health
11/13/2014
5/31/2024
Inactive
American General Life Insurance Company
301585
Agent - Life
11/13/2014
5/31/2024
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
11/13/2014
5/31/2024
Inactive
American General Life Insurance Company of Pennsylvania
301579
Agent - Health
10/29/1999
12/31/2002
Inactive
American General Life Insurance Company of Pennsylvania
301579
Agent - Life
10/29/1999
12/31/2002
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
8/3/2005
5/31/2024
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
8/3/2005
5/31/2024
Inactive
American National Life Insurance Company of Texas
300912
Agent - Health
5/18/2006
5/31/2024
Inactive
American National Life Insurance Company of Texas
300912
Agent - Life
5/18/2006
5/31/2024
Inactive
American United Life Insurance Company
300498
Agent - Health
5/26/2004
1/12/2007
Inactive
American United Life Insurance Company
300498
Agent - Life
5/26/2004
1/12/2007
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
7/9/2009
2/1/2021
Inactive
Athene Annuity and Life Company
301893
Agent - Life
3/5/2010
9/6/2012
Inactive
Banner Life Insurance Company
301696
Agent - Life
11/16/2010
5/31/2024
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
8/7/2008
10/12/2020
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
8/7/2008
10/12/2020
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
2/16/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/7/2007
2/16/2010
Inactive
Centre Life Insurance Company
300341
Agent - Health
10/31/1997
3/31/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
4/1/2002
4/1/2007
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
10/15/1997
12/21/2012
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
10/15/1997
12/21/2012
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
3/12/2009
12/13/2016
Inactive
CompBenefits Insurance Company
301864
Agent - Health
3/12/2009
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
3/12/2009
7/2/2013
Inactive
Conseco Health Insurance Company
301725
Agent - Health
10/3/2006
5/20/2009
Inactive
Conseco Health Insurance Company
301725
Agent - Life
10/3/2006
5/20/2009
Inactive
Conseco Insurance Company
301202
Agent - Health
10/3/2006
10/1/2010
Inactive
Conseco Insurance Company
301202
Agent - Life
10/3/2006
10/1/2010
Inactive
Continental Casualty Company
301019
Agent - Health
4/8/1999
11/29/2004
Inactive
Dental Care Plus Inc.
301495
Agent - Health
2/17/2006
5/21/2020
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
12/17/2018
12/19/2019
Inactive
DentiCare, Inc.
300655
Agent - Health
7/7/2003
11/1/2005
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
5/10/2001
2/25/2002
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
5/10/2001
2/25/2002
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
5/10/2001
2/25/2002
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
2/3/2004
12/10/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
2/3/2004
12/10/2010
Inactive
Equitable Financial Life and Annuity Company
301833
Agent - Life
5/10/2001
2/25/2002
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
8/25/2008
6/2/2020
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
8/25/2008
6/2/2020
Inactive
First Allmerica Financial Life Insurance Company
301853
Agent - Health
6/10/1994
3/31/1997
Inactive
First Allmerica Financial Life Insurance Company
301853
Agent - Life
6/10/1994
3/31/1997
Inactive
First Colony Life Insurance Company
301179
Agent - Life
5/5/1989
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
3/27/1997
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
3/27/1997
12/23/2008
Inactive
Genworth Life Insurance Company
300623
Agent - Health
2/10/2014
12/14/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Life
2/10/2014
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
11/21/2013
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
11/21/2013
12/14/2016
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/27/2006
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/27/2006
11/10/2008
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
8/7/2008
10/5/2021
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
8/7/2008
10/5/2021
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
8/7/2008
10/5/2021
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
8/20/2008
11/28/2020
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
8/20/2008
11/28/2020
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
3/31/2014
12/5/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
12/5/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
6/15/1998
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
6/15/1998
5/31/2024
Inactive
Humana Insurance Company
301104
Agent - Life
6/15/1998
5/31/2024
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
4/17/2013
12/5/2014
Inactive
HumanaDental Insurance Company
301457
Agent - Health
9/1/2011
2/23/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
9/1/2011
2/23/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
4/10/2000
1/6/2003
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/15/2008
1/6/2009
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
9/19/1995
5/5/1998
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
9/19/1995
5/5/1998
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
4/14/2003
12/8/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
4/14/2003
12/8/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/30/2013
12/5/2014
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/11/2008
4/25/2013
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
7/9/2010
1/19/2023
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
7/9/2010
1/19/2023
Inactive
LifeUSA Insurance Company
300386
Agent - Health
3/21/1991
3/6/1996
Inactive
LifeUSA Insurance Company
300386
Agent - Life
3/21/1991
3/6/1996
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
3/31/2006
12/18/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
3/31/2006
12/18/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
3/31/2006
12/18/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
5/8/2015
12/23/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/8/2015
12/23/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/8/2015
12/23/2016
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
7/9/2009
9/20/2010
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
7/9/2009
12/6/2011
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
7/22/2004
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
7/22/2004
12/7/2007
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
11/12/1997
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
11/12/1997
3/31/2001
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
10/12/2015
5/31/2024
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
10/12/2015
5/31/2024
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
10/12/2015
5/31/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
12/16/2004
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/16/2004
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
12/16/2004
12/10/2012
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Health
2/28/1994
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
2/28/1994
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Variable Life and Variable Annuities
9/6/2001
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Health
7/9/2001
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Life
12/31/2009
12/31/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/31/2009
6/4/2014
Inactive
New York Life Insurance Company
300431
Agent - Health
8/29/2016
5/17/2021
Inactive
New York Life Insurance Company
300431
Agent - Life
8/29/2016
5/17/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
8/29/2016
5/17/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
8/29/2016
5/17/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
8/29/2016
5/17/2021
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
2/14/1995
3/31/1997
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
4/13/1999
12/20/2007
Inactive
Northern Life Insurance Company
300301
Agent - Health
8/6/1991
3/31/2001
Inactive
Northern Life Insurance Company
300301
Agent - Life
8/6/1991
3/31/2001
Inactive
Northern Life Insurance Company
300301
Agent - Variable Life and Variable Annuities
4/20/2001
10/2/2002
Inactive
Principal Life Insurance Company
300129
Agent - Health
5/12/1998
12/2/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
5/12/1998
12/2/2008
Inactive
Principal National Life Insurance Company
301926
Agent - Life
7/12/2017
5/31/2024
Inactive
Protective Life Insurance Company
300638
Agent - Health
11/24/2014
11/23/2019
Inactive
Protective Life Insurance Company
300638
Agent - Life
11/24/2014
11/23/2019
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
11/24/2014
11/23/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
8/13/1996
4/6/2005
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
8/13/1996
4/6/2005
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/1/2004
11/25/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/1/2004
11/25/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
11/1/2004
11/11/2014
Inactive
Prudential Health Care Plan Inc.
301342
Agent - Health
3/1/2001
5/21/2003
Inactive
Prudential Health Care Plan Inc.
301342
Agent - Health Maintenance Organization
5/17/1999
3/1/2001
Inactive
Prudential Insurance Company of America
300784
Agent - Health
5/17/1999
5/31/2024
Inactive
Prudential Insurance Company of America
300784
Agent - Life
5/17/1999
5/31/2024
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
8/31/1995
1/3/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
12/18/1997
3/31/2001
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
8/31/1995
1/3/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
12/18/1997
3/31/2001
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
7/17/1995
5/31/2024
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
7/17/1995
5/31/2024
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
9/6/2001
5/31/2024
Inactive
ReliaStar Life Insurance Company of New York
301018
Agent - Health
8/15/2006
11/9/2009
Inactive
ReliaStar Life Insurance Company of New York
301018
Agent - Life
8/15/2006
11/9/2009
Inactive
Security Benefit Life Insurance Company
300583
Agent - Health
4/11/2005
12/7/2017
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
4/11/2005
12/7/2017
Inactive
Security Benefit Life Insurance Company
300583
Agent - Variable Life and Variable Annuities
4/11/2005
12/7/2017
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
10/14/2009
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
10/14/2009
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
10/14/2009
9/29/2012
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
4/26/1999
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
4/26/1999
10/1/2003
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
6/26/2013
12/29/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
6/26/2013
12/29/2023
Inactive
Symetra Life Insurance Company
301691
Agent - Health
5/11/2017
9/16/2022
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/11/2017
9/16/2022
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
5/11/2017
9/16/2022
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/22/2002
9/27/2016
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/22/2002
9/27/2016
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/22/2002
9/27/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/22/2002
9/27/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/22/2002
9/27/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/22/2002
9/27/2016
Inactive
The Savings Bank Mutual Life Insurance Company of Massachusetts
690290
Agent - Life
10/23/2012
12/19/2014
Inactive
Time Insurance Company
300683
Agent - Health
1/31/2000
12/10/2004
Inactive
Time Insurance Company
300683
Agent - Life
1/31/2000
12/10/2004
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
2/9/2005
9/27/2007
Inactive
Union Central Life Insurance Company
300307
Agent - Health
4/28/1999
3/20/2006
Inactive
Union Central Life Insurance Company
300307
Agent - Life
4/28/1999
3/20/2006
Inactive
Union Security Insurance Company
301844
Agent - Health
11/1/2005
2/9/2021
Inactive
United Concordia Dental Plans of Kentucky Inc.
301923
Agent - Health
8/27/2001
12/16/2010
Inactive
United Concordia Life and Health Insurance Company
301220
Agent - Health
8/27/2001
12/16/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
1/21/2005
12/19/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
1/21/2005
12/19/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/1/2003
11/22/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
4/1/2003
11/22/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
4/1/2003
11/22/2005
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
7/22/2010
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/22/2010
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
7/22/2010
5/18/2018
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
10/7/2002
12/12/2006
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
10/7/2002
12/12/2006
Inactive
Washington National Insurance Company
300587
Agent - Health
10/1/2010
12/21/2010
Inactive
Washington National Insurance Company
300587
Agent - Life
10/1/2010
12/21/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Health
6/11/2003
9/8/2009
Inactive
West Coast Life Insurance Company
301607
Agent - Life
12/16/2009
11/16/2011
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
11/6/2000
10/14/2002
Inactive
300277
Agent - Health
6/11/1999
1/1/2007
Inactive
300277
Agent - Life
6/11/1999
1/1/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Annuity Associates Inc.
401283
Agent - Health
7/8/2009
3/31/2021
Inactive
Annuity Associates Inc.
401283
Administrator - Not Applicable
8/27/2021
3/31/2023
Inactive
Annuity Associates Inc.
401283
Agent - Life
7/8/2009
3/31/2021
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
5/18/2006
5/31/2024
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/17/2013
11/2/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/17/2013
11/2/2016
Inactive
Investors Brokerage Services Insurance Agency Inc.
399040
Agent - Life
2/24/2003
2/4/2005
Inactive
Investors Brokerage Services Insurance Agency Inc.
399040
Agent - Variable Life and Variable Annuities
2/24/2003
2/4/2005
Inactive
Medlink Inc
400721
Agent - Health
5/18/2006
3/31/2024
Inactive
Medlink Inc
400721
Agent - Life
8/3/2005
3/31/2024
Inactive
Professional Retirement Planning Inc.
400960
Agent - Health
7/27/1990
2/14/2003
Inactive
Professional Retirement Planning Inc.
400960
Agent - Life
7/27/1990
2/14/2003
Inactive
Thompson Associates Inc.
398584
Agent - Health
10/9/1991
11/23/1998
Inactive
Thompson Associates Inc.
398584
Agent - Life
10/9/1991
11/23/1998
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