DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldberg, Kay L	DOIID	373337	NAIC NPN	7201614

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/14/2005	8/31/2020
Inactive	Resident	Agent	Life	1/14/2005	8/31/2020
* 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	Northern Life Insurance Company	300301	Agent - Health	5/21/1997	10/29/2000
Inactive	Northern Life Insurance Company	300301	Agent - Life	5/21/1997	10/29/2000
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/2/2005	12/13/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/2/2005	10/13/2012

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 - Life	3/9/2011	10/13/2012
Inactive	Annuity Associates Inc.	401283	Agent - Health	3/9/2011	12/13/2012