DEPARTMENT OF INSURANCE

Affiliations

Name	Gould, William Bradford	DOIID	381265	NAIC NPN	233373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/30/1996		9/30/2024
Active	Non Resident	Agent	Health	8/30/1996		9/30/2024
Inactive	Non Resident	Agent	Health Maintenance Organization	4/17/1995	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	6/19/2023	7/23/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/24/2010
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/24/2010
Active	Aetna Life Insurance Company	301140	Agent - Life	11/24/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/10/2006	9/30/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/10/2006	9/30/2007
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/14/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	6/26/2013
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014
Active	Dental Concern Inc. (The)	301641	Agent - Health	1/4/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/16/2014
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	2/1/2024
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	2/1/2024
Inactive	HCC Life Insurance Company	301827	Agent - Health	10/19/2015	10/3/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/3/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/17/1995	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2002	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/5/2002	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/14/2007	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/14/2007	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/28/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/28/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/30/2015	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/30/2015	1/22/2018
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	1/23/2014
Active	Omaha Health Insurance Company	301296	Agent - Health	8/1/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	1/23/2014	8/8/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/30/1996
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/30/1996
Inactive	Security Life Insurance Company of America	300936	Agent - Health	6/9/2004	12/7/2010
Inactive	Security Life Insurance Company of America	300936	Agent - Life	6/9/2004	12/7/2010
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Inactive	Time Insurance Company	300683	Agent - Health	9/5/2002	5/14/2012
Inactive	Time Insurance Company	300683	Agent - Life	9/5/2002	5/14/2012
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/14/2015	1/2/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/23/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/23/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/21/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/30/1996	11/21/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/19/2001	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/19/2001	6/11/2007
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/21/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/19/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/19/2019

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	5/15/2000	5/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/15/2000	5/10/2001
Active	Black Gould & Assoc Inc	1048488	Agent - Life	7/24/2019
Active	Black Gould & Assoc Inc	1048488	Agent - Health	7/24/2019
Active	CBISA Reaquisitian Corp	547026	Agent - Life	12/10/2003
Active	CBISA Reaquisitian Corp	547026	Agent - Health	12/10/2003
Active	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013