DEPARTMENT OF INSURANCE
Affiliations
NameGoldberg, David RossDOIID323062NAIC NPN1469132
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementResidentAdministratorNot Applicable6/17/1993 5/31/2024
InactiveResidentAgentHealth Maintenance Organization6/15/19983/1/2001 
Pending ReplacementResidentAgentHealth7/11/1989 5/31/2024
Pending ReplacementResidentAgentLife5/5/1989 5/31/2024
Pending ReplacementResidentAgentVariable Life and Variable Annuities9/6/2001 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator03/15/202405/31/2024   
Agent03/15/202405/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health4/7/199911/20/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/7/199911/20/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/1/20114/8/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/1/20114/8/2021
InactiveAmerican General Assurance Company300586Agent - Health12/31/200212/31/2012
InactiveAmerican General Assurance Company300586Agent - Life12/31/200212/31/2012
Pending ReplacementAmerican General Life Insurance Company301585Agent - Health11/13/2014 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Life11/13/2014 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities11/13/2014 
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Health10/29/199912/31/2002
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Life10/29/199912/31/2002
Pending ReplacementAmerican Heritage Life Insurance Company300272Agent - Health8/3/2005 
Pending ReplacementAmerican Heritage Life Insurance Company300272Agent - Life8/3/2005 
Pending ReplacementAmerican National Life Insurance Company of Texas300912Agent - Health5/18/2006 
Pending ReplacementAmerican National Life Insurance Company of Texas300912Agent - Life5/18/2006 
InactiveAmerican United Life Insurance Company300498Agent - Health5/26/20041/12/2007
InactiveAmerican United Life Insurance Company300498Agent - Life5/26/20041/12/2007
InactiveAnnuity Investors Life Insurance Company300715Agent - Life7/9/20092/1/2021
InactiveAthene Annuity and Life Company301893Agent - Life3/5/20109/6/2012
Pending ReplacementBanner Life Insurance Company301696Agent - Life11/16/2010 
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/7/200810/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/7/200810/12/2020
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20072/16/2010
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/7/20072/16/2010
InactiveCentre Life Insurance Company300341Agent - Health10/31/19973/31/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/1/20024/1/2007
InactiveColonial Life and Accident Insurance Company300846Agent - Health10/15/199712/21/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life10/15/199712/21/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health3/12/200912/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health3/12/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/12/20097/2/2013
InactiveConseco Health Insurance Company301725Agent - Health10/3/20065/20/2009
InactiveConseco Health Insurance Company301725Agent - Life10/3/20065/20/2009
InactiveConseco Insurance Company301202Agent - Health10/3/200610/1/2010
InactiveConseco Insurance Company301202Agent - Life10/3/200610/1/2010
InactiveContinental Casualty Company301019Agent - Health4/8/199911/29/2004
InactiveDental Care Plus Inc.301495Agent - Health2/17/20065/21/2020
InactiveDental Concern Inc. (The)301641Agent - Health12/17/201812/19/2019
InactiveDentiCare, Inc.300655Agent - Health7/7/200311/1/2005
InactiveEquitable Financial Life Insurance Company300808Agent - Health5/10/20012/25/2002
InactiveEquitable Financial Life Insurance Company300808Agent - Life5/10/20012/25/2002
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities5/10/20012/25/2002
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life2/3/200412/10/2010
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities2/3/200412/10/2010
InactiveEquitable Financial Life and Annuity Company301833Agent - Life5/10/20012/25/2002
InactiveFidelity Security Life Insurance Company300466Agent - Health8/25/20086/2/2020
InactiveFidelity Security Life Insurance Company300466Agent - Life8/25/20086/2/2020
InactiveFirst Allmerica Financial Life Insurance Company301853Agent - Health6/10/19943/31/1997
InactiveFirst Allmerica Financial Life Insurance Company301853Agent - Life6/10/19943/31/1997
InactiveFirst Colony Life Insurance Company301179Agent - Life5/5/19891/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health3/27/199712/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life3/27/199712/23/2008
InactiveGenworth Life Insurance Company300623Agent - Health2/10/201412/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life2/10/201412/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/21/201312/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/21/201312/14/2016
InactiveGolden Rule Insurance Company301943Agent - Health1/27/200611/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life1/27/200611/10/2008
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life8/7/200810/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Health8/7/200810/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life8/7/200810/5/2021
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/20/200811/28/2020
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/20/200811/28/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/31/201412/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200112/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/15/19983/1/2001
Pending ReplacementHumana Insurance Company301104Agent - Health6/15/1998 
Pending ReplacementHumana Insurance Company301104Agent - Life6/15/1998 
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/17/201312/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health9/1/20112/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/1/20112/23/2012
InactiveJackson National Life Insurance Company300486Agent - Health4/10/20001/6/2003
InactiveJackson National Life Insurance Company300486Agent - Life11/15/20081/6/2009
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health9/19/19955/5/1998
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life9/19/19955/5/1998
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/14/200312/8/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/14/200312/8/2006
InactiveKanawha Insurance Company300127Agent - Health4/30/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life4/11/20084/25/2013
InactiveLafayette Life Insurance Company (The)301039Agent - Health7/9/20101/19/2023
InactiveLafayette Life Insurance Company (The)301039Agent - Life7/9/20101/19/2023
InactiveLifeUSA Insurance Company300386Agent - Health3/21/19913/6/1996
InactiveLifeUSA Insurance Company300386Agent - Life3/21/19913/6/1996
InactiveLincoln Benefit Life Company301110Agent - Health3/31/200612/18/2010
InactiveLincoln Benefit Life Company301110Agent - Life3/31/200612/18/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities3/31/200612/18/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/8/201512/23/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/8/201512/23/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/8/201512/23/2016
InactiveLoyal American Life Insurance Company301172Agent - Life7/9/20099/20/2010
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life7/9/200912/6/2011
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life7/22/200412/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities7/22/200412/7/2007
InactiveMidland Life Insurance Company (The)300310Agent - Health11/12/19973/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life11/12/19973/31/2001
Pending ReplacementMinnesota Life Insurance Company300488Agent - Health10/12/2015 
Pending ReplacementMinnesota Life Insurance Company300488Agent - Life10/12/2015 
Pending ReplacementMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities10/12/2015 
InactiveNationwide Life Insurance Company300495Agent - Health12/16/200412/10/2012
InactiveNationwide Life Insurance Company300495Agent - Life12/16/200412/10/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/16/200412/10/2012
InactiveNationwide Life Insurance Company of America301134Agent - Health2/28/199412/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Life2/28/199412/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Variable Life and Variable Annuities9/6/200112/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Health7/9/200112/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Life12/31/200912/31/2009
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/31/20096/4/2014
InactiveNew York Life Insurance Company300431Agent - Health8/29/20165/17/2021
InactiveNew York Life Insurance Company300431Agent - Life8/29/20165/17/2021
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health8/29/20165/17/2021
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life8/29/20165/17/2021
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities8/29/20165/17/2021
InactiveNorth American Company for Life and Health Insurance300291Agent - Health2/14/19953/31/1997
InactiveNorth American Company for Life and Health Insurance300291Agent - Life4/13/199912/20/2007
InactiveNorthern Life Insurance Company300301Agent - Health8/6/19913/31/2001
InactiveNorthern Life Insurance Company300301Agent - Life8/6/19913/31/2001
InactiveNorthern Life Insurance Company300301Agent - Variable Life and Variable Annuities4/20/200110/2/2002
InactivePrincipal Life Insurance Company300129Agent - Health5/12/199812/2/2008
InactivePrincipal Life Insurance Company300129Agent - Life5/12/199812/2/2008
Pending ReplacementPrincipal National Life Insurance Company301926Agent - Life7/12/2017 
InactiveProtective Life Insurance Company300638Agent - Health11/24/201411/23/2019
InactiveProtective Life Insurance Company300638Agent - Life11/24/201411/23/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities11/24/201411/23/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/13/19964/6/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/13/19964/6/2005
InactivePruco Life Insurance Company300954Agent - Health11/1/200411/25/2020
InactivePruco Life Insurance Company300954Agent - Life11/1/200411/25/2020
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities11/1/200411/11/2014
InactivePrudential Health Care Plan Inc.301342Agent - Health3/1/20015/21/2003
InactivePrudential Health Care Plan Inc.301342Agent - Health Maintenance Organization5/17/19993/1/2001
Pending ReplacementPrudential Insurance Company of America300784Agent - Health5/17/1999 
Pending ReplacementPrudential Insurance Company of America300784Agent - Life5/17/1999 
InactiveReassure America Life Insurance Company301902Agent - Health8/31/19951/3/2003
InactiveReassure America Life Insurance Company300678Agent - Health12/18/19973/31/2001
InactiveReassure America Life Insurance Company301902Agent - Life8/31/19951/3/2003
InactiveReassure America Life Insurance Company300678Agent - Life12/18/19973/31/2001
Pending ReplacementReliaStar Life Insurance Company301712Agent - Health7/17/1995 
Pending ReplacementReliaStar Life Insurance Company301712Agent - Life7/17/1995 
Pending ReplacementReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities9/6/2001 
InactiveReliaStar Life Insurance Company of New York301018Agent - Health8/15/200611/9/2009
InactiveReliaStar Life Insurance Company of New York301018Agent - Life8/15/200611/9/2009
InactiveSecurity Benefit Life Insurance Company300583Agent - Health4/11/200512/7/2017
InactiveSecurity Benefit Life Insurance Company300583Agent - Life4/11/200512/7/2017
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities4/11/200512/7/2017
InactiveSecurity Life of Denver Insurance Company300648Agent - Health10/14/20099/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life10/14/20099/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities10/14/20099/29/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health4/26/199910/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life4/26/199910/1/2003
InactiveSun Life Assurance Company of Canada301811Agent - Health6/26/201312/29/2023
InactiveSun Life Assurance Company of Canada301811Agent - Life6/26/201312/29/2023
InactiveSymetra Life Insurance Company301691Agent - Health5/11/20179/16/2022
InactiveSymetra Life Insurance Company301691Agent - Life5/11/20179/16/2022
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities5/11/20179/16/2022
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/22/20029/27/2016
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/22/20029/27/2016
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/22/20029/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/22/20029/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/22/20029/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/22/20029/27/2016
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life10/23/201212/19/2014
InactiveTime Insurance Company300683Agent - Health1/31/200012/10/2004
InactiveTime Insurance Company300683Agent - Life1/31/200012/10/2004
InactiveU.S. Financial Life Insurance Company301812Agent - Life2/9/20059/27/2007
InactiveUnion Central Life Insurance Company300307Agent - Health4/28/19993/20/2006
InactiveUnion Central Life Insurance Company300307Agent - Life4/28/19993/20/2006
InactiveUnion Security Insurance Company301844Agent - Health11/1/20052/9/2021
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health8/27/200112/16/2010
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health8/27/200112/16/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/21/200512/19/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/21/200512/19/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/1/200311/22/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/1/200311/22/2005
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/1/200311/22/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Health7/22/20105/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/22/20105/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities7/22/20105/18/2018
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life10/7/200212/12/2006
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities10/7/200212/12/2006
InactiveWashington National Insurance Company300587Agent - Health10/1/201012/21/2010
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/21/2010
InactiveWest Coast Life Insurance Company301607Agent - Health6/11/20039/8/2009
InactiveWest Coast Life Insurance Company301607Agent - Life12/16/200911/16/2011
InactiveZurich American Life Insurance Company300216Agent - Life11/6/200010/14/2002
Inactive300277Agent - Health6/11/19991/1/2007
Inactive300277Agent - Life6/11/19991/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnnuity Associates Inc.401283Agent - Health7/8/20093/31/2021
InactiveAnnuity Associates Inc.401283Administrator - Not Applicable8/27/20213/31/2023
InactiveAnnuity Associates Inc.401283Agent - Life7/8/20093/31/2021
Pending ReplacementDental Choice Agency Inc.398085Agent - Health5/18/2006 
InactiveDesignated Agent Company Inc.681257Agent - Health12/17/201311/2/2016
InactiveDesignated Agent Company Inc.681257Agent - Life12/17/201311/2/2016
InactiveInvestors Brokerage Services Insurance Agency Inc.399040Agent - Life2/24/20032/4/2005
InactiveInvestors Brokerage Services Insurance Agency Inc.399040Agent - Variable Life and Variable Annuities2/24/20032/4/2005
InactiveMedlink Inc400721Agent - Health5/18/20063/31/2024
InactiveMedlink Inc400721Agent - Life8/3/20053/31/2024
InactiveProfessional Retirement Planning Inc.400960Agent - Health7/27/19902/14/2003
InactiveProfessional Retirement Planning Inc.400960Agent - Life7/27/19902/14/2003
InactiveThompson Associates Inc.398584Agent - Health10/9/199111/23/1998
InactiveThompson Associates Inc.398584Agent - Life10/9/199111/23/1998

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