DEPARTMENT OF INSURANCE

Affiliations

Name	Goldberg, Howard	DOIID	366447	NAIC NPN	7198662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/21/2009	8/1/2011
Inactive	Resident	Agent	Health	7/21/2009	8/1/2011
Inactive	Resident	Agent	Health Maintenance Organization	9/2/1997	3/1/2001
* 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
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/31/1999	11/27/1999
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/27/1999
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/27/1999
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/19/1999	12/11/2000
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/19/1999	12/11/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Health	2/1/2000	7/1/2002
Inactive	Athene Annuity and Life Company	301893	Agent - Life	2/1/2000	7/1/2002
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/13/2001	7/1/2002
Inactive	Centre Life Insurance Company	300341	Agent - Health	6/23/1997	3/31/1999
Inactive	Continental Casualty Company	301019	Agent - Health	12/15/1997	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/2/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/15/1998	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	6/15/1998	7/1/2002
Inactive	Inter-State Assurance Company	301556	Agent - Life	1/29/1997	11/27/1999
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	10/29/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	10/29/2001
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	7/2/1997	11/27/1999
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	8/28/2000	7/1/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/12/1998	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/12/1998	3/31/2001
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/18/1996	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/18/1996	3/31/1999
Inactive	National Life Insurance Company	301852	Agent - Health	2/10/1997	12/28/1998
Inactive	National Life Insurance Company	301852	Agent - Life	2/10/1997	12/28/1998
Inactive	New England Life Insurance Company	300343	Agent - Health	12/14/1999	7/1/2002
Inactive	New England Life Insurance Company	300343	Agent - Life	12/14/1999	7/1/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/20/1995	11/27/1999
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/20/1995	7/1/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	8/7/1996	6/5/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	3/6/2000	7/1/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	3/6/2000	7/1/2002
Inactive	Physicians Life Insurance Company	300924	Agent - Health	7/31/2009	12/16/2009
Inactive	Physicians Life Insurance Company	300924	Agent - Life	7/31/2009	12/16/2009
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	7/31/2009	12/16/2009
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/5/1995	11/27/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/5/1995	11/27/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/6/2000	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/6/2000	7/1/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/28/1995	6/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/28/1995	6/26/2001
Inactive	Time Insurance Company	300683	Agent - Health	2/9/2001	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Life	2/9/2001	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/19/1996	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/19/1996	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/6/2000	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/6/2000	7/1/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	1/10/1994	11/30/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	1/10/1994	11/30/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/3/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/3/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Professional Insurance Marketers Inc.	400645	Agent - Life	2/28/1996	7/1/2002
Inactive	Professional Insurance Marketers Inc.	400645	Agent - Health	2/28/1996	11/27/1999