DEPARTMENT OF INSURANCE

Affiliations

Name	Goodman, Nelson M	DOIID	382829	NAIC NPN	1639124

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/4/1990	12/1/2000
Inactive	Resident	Agent	Health	1/4/1990	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	11/6/1996	12/1/2000
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/25/1994	3/20/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/25/1994	3/20/1998
Inactive	American United Life Insurance Company	300498	Agent - Health	1/4/1990	12/1/2000
Inactive	American United Life Insurance Company	300498	Agent - Life	1/4/1990	12/1/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/6/1996	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/15/1996	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/15/1996	12/1/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/6/1997	12/1/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/6/1997	12/1/2000
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	7/29/1997	3/15/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/25/1994	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/17/1995	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/17/1995	11/12/1998
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/12/1996	12/1/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/12/1996	12/1/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/30/1997	12/1/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/30/1997	12/1/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/13/1995	12/1/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/13/1995	12/1/2000
Inactive	MONY Life Insurance Company	301141	Agent - Health	7/29/1997	3/15/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	7/29/1997	3/15/1999
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	1/12/1996	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	1/12/1996	3/31/1997
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	7/20/1994	8/5/1997
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	7/20/1994	8/5/1997
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Health	9/29/1994	8/25/1997
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Life	9/29/1994	8/25/1997
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	2/6/1996	12/1/2000
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/6/1996	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/8/1998	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/8/1998	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/16/1995	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/16/1995	12/1/2000
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/30/1999	2/24/2000
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/30/1999	2/24/2000
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/30/1999	2/24/2000
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/30/1999	2/24/2000
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/21/1993	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/16/1997	12/1/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/6/1997	12/1/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/6/1997	12/1/2000
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/14/1992	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/14/1992	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/19/1996	12/1/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/19/1996	12/1/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/19/1995	7/22/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/19/1995	7/22/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	10/3/1996	12/1/2000
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	10/3/1996	12/1/2000
Inactive	Kentucky Financial Group Inc.	400432	Agent - Life	9/6/1994	12/1/2000
Inactive	Kentucky Financial Group Inc.	400432	Agent - Health	9/6/1994	12/1/2000