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DEPARTMENT OF INSURANCE
Affiliations
Name
GoldenCare USA, LLC
DOIID
398142
NAIC NPN
654482
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
3/7/1991
3/31/2027
Active
Non Resident
Agent
Life
3/7/1991
3/31/2027
* 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
01/15/2025
03/31/2025
01/17/2025
01/17/2025
Yes
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
7/31/2022
4/7/2025
Inactive
AF&L Insurance Company
301582
Agent - Health
2/11/2005
11/1/2006
Inactive
Ability Insurance Company
301013
Agent - Health
8/31/1994
11/15/2006
Inactive
Ability Insurance Company
301013
Agent - Life
8/31/1994
11/15/2006
Inactive
Accendo Insurance Company
300312
Agent - Health
6/14/2022
11/17/2023
Active
Accendo Insurance Company
300312
Agent - Life
6/10/2020
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
6/14/2022
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
12/10/1998
10/9/2019
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
12/10/1998
10/9/2019
Inactive
American Continental Insurance Company
643130
Agent - Health
3/12/2010
11/12/2014
Inactive
American Continental Insurance Company
643130
Agent - Life
3/12/2010
12/6/2021
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
7/28/1997
8/19/2014
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
9/6/2012
11/12/2013
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
8/17/1998
7/2/2002
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
8/17/1998
7/2/2002
Active
Ameritas Life Insurance Corporation
300126
Agent - Health
11/9/2017
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
2/19/2004
12/10/2020
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
2/19/2004
10/16/2012
Inactive
Anthem Life Insurance Company
301209
Agent - Health
2/19/2004
12/10/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
2/19/2004
12/10/2020
Inactive
Bankers United Life Assurance Company
300296
Agent - Health
3/7/1991
12/31/2001
Inactive
Bankers United Life Assurance Company
300296
Agent - Life
3/7/1991
12/31/2001
Active
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
7/20/2022
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
4/8/2019
2/3/2025
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
4/8/2019
2/3/2025
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/12/2010
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
6/14/2022
Inactive
Elips Life Insurance Company
301087
Agent - Health
4/14/2022
1/13/2025
Inactive
Genworth Life Insurance Company
300623
Agent - Health
7/12/2006
12/3/2019
Inactive
Genworth Life Insurance Company
300623
Agent - Life
7/12/2006
12/3/2019
Active
Gerber Life Insurance Company
300529
Agent - Health
12/13/2022
Active
Gerber Life Insurance Company
300529
Agent - Life
12/13/2022
Active
Guaranty Income Life Insurance Company
552451
Agent - Health
4/23/2022
Active
Guaranty Income Life Insurance Company
552451
Agent - Life
4/23/2022
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
4/1/2005
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
4/1/2005
12/30/2009
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/19/2008
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
12/31/2001
6/30/2005
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
12/31/2001
6/30/2005
Inactive
LifeUSA Insurance Company
300386
Agent - Health
12/10/1998
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
12/10/1998
8/2/2002
Inactive
Lumico Life Insurance Company
300354
Agent - Health
6/26/2018
2/17/2023
Inactive
Lumico Life Insurance Company
300354
Agent - Life
3/29/2019
11/21/2024
Inactive
MedAmerica Insurance Company
301568
Agent - Health
10/21/2003
3/2/2016
Inactive
Medico Insurance Company
301559
Agent - Health
2/6/1996
11/15/2006
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
7/20/2004
11/26/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
7/20/2004
11/26/2009
Active
Molina Healthcare of Kentucky, Inc.
1035856
Agent - Health
1/18/2022
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/12/2003
1/27/2014
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
7/28/2023
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/28/2023
Inactive
Omaha Insurance Company
751908
Agent - Health
3/30/2012
1/27/2014
Inactive
Physicians Life Insurance Company
300924
Agent - Life
8/6/2004
5/9/2007
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
8/6/2004
5/9/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Health
8/29/2001
12/22/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Life
8/29/2001
12/22/2008
Inactive
Prudential Insurance Company of America
300784
Agent - Health
8/29/2001
9/23/2011
Inactive
Prudential Insurance Company of America
300784
Agent - Life
8/29/2001
9/23/2011
Active
Reserve National Insurance Company
301073
Agent - Health
7/16/2014
Active
Reserve National Insurance Company
301073
Agent - Life
7/16/2014
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
12/7/1994
6/27/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
12/7/1994
6/27/2003
Active
Sierra Health and Life Insurance Company Inc.
300357
Agent - Health
11/13/2024
Inactive
State Life Insurance Company
301497
Agent - Health
7/31/2018
7/11/2024
Inactive
State Life Insurance Company
301497
Agent - Life
7/31/2018
7/11/2024
Inactive
Sterling Life Insurance Company
301947
Agent - Health
11/15/2011
3/22/2012
Inactive
Sterling Life Insurance Company
301947
Agent - Life
11/15/2011
3/22/2012
Active
Tier One Insurance Company
301056
Agent - Health
10/24/2022
Active
Tier One Insurance Company
301056
Agent - Life
8/17/2022
Inactive
Union Security Insurance Company
301844
Agent - Health
7/31/2018
2/22/2021
Inactive
United World Life Insurance Company
300532
Agent - Health
1/18/2007
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
1/18/2007
1/27/2014
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
1/18/2007
1/27/2014
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
7/30/2015
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
9/15/2016
12/20/2018
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/5/2019
12/22/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/15/2018
12/23/2021
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
7/30/2015
12/5/2016
Active
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/12/2015
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aboud, James Michael
326442
Agent - Health
4/22/2004
1/27/2005
Inactive
Aboud, James Michael
326442
Agent - Life
4/22/2004
1/27/2005
Active
Anderson, Leonard Gary
367880
Agent - Health
7/2/2008
Active
Anderson, Leonard Gary
367880
Agent - Life
7/2/2008
Inactive
Anderson-Simonson, Julie
974702
Agent - Health
11/14/2017
2/28/2022
Inactive
Anderson-Simonson, Julie
974702
Agent - Life
11/14/2017
2/28/2022
Inactive
Baylon, Arsenio G.B.
356089
Agent - Health
4/22/2004
2/12/2007
Inactive
Baylon, Arsenio G.B.
356089
Agent - Life
4/22/2004
2/12/2007
Active
Bergstrom, Susan Reiter
1135631
Agent - Health
6/16/2021
Active
Bergstrom, Susan Reiter
1135631
Agent - Life
6/16/2021
Inactive
Brock, Kimberly
1182467
Agent - Health
2/7/2022
6/30/2022
Active
Casey, Timothy W
681348
Agent - Health
11/3/2016
Active
Casey, Timothy W
681348
Agent - Life
11/3/2016
Active
Castro, Michael A
1387190
Agent - Health
3/12/2025
Active
Castro, Michael A
1387190
Agent - Life
3/12/2025
Active
Chatman, Terrica Renee
1153371
Agent - Health
2/4/2025
Active
Chatman, Terrica Renee
1153371
Agent - Life
2/10/2025
Inactive
Ciliberti, Patricia Elaine
1119961
Agent - Health
5/10/2021
2/14/2022
Inactive
Ciliberti, Patricia Elaine
1119961
Agent - Life
5/18/2021
2/14/2022
Active
Clark, Jeffrey A
993623
Agent - Health
5/30/2018
Active
Clark, Jeffrey A
993623
Agent - Life
5/30/2018
Inactive
Cogoni, Steven Michael
846280
Agent - Health
11/11/2019
8/14/2020
Inactive
Cogoni, Steven Michael
846280
Agent - Life
11/18/2019
8/14/2020
Inactive
Conwell, Dennis W
518455
Agent - Health
11/3/2016
2/29/2020
Inactive
Conwell, Dennis W
518455
Agent - Life
11/3/2016
2/29/2020
Active
Cooper, Jonathan Travis
1345751
Agent - Life
6/19/2024
Inactive
Costellow, Wayburn Allen
347664
Agent - Health
3/7/1991
2/12/2007
Inactive
Costellow, Wayburn Allen
347664
Agent - Life
3/7/1991
2/12/2007
Inactive
Daniels, Richard William
347906
Agent - Health
2/13/2007
11/2/2016
Inactive
Daniels, Richard William
347906
Agent - Life
2/13/2007
11/2/2016
Inactive
Deleo, Kenneth E
777069
Agent - Health
11/16/2020
8/18/2023
Inactive
Deleo, Kenneth E
777069
Agent - Life
11/17/2020
8/18/2023
Inactive
Dolce, Steven
792162
Agent - Health
10/2/2018
11/1/2018
Inactive
Dolce, Steven
792162
Agent - Life
10/2/2018
11/1/2018
Inactive
Farrar, Stephanie Suzanne
573521
Agent - Health
4/22/2004
7/1/2006
Inactive
Farrar, Stephanie Suzanne
573521
Agent - Life
4/22/2004
7/1/2006
Active
Felten, Jennifer B
1136737
Agent - Health
11/10/2022
Active
Felten, Jennifer B
1136737
Agent - Life
11/10/2022
Inactive
Fjelstad, Jessica Ann
979792
Agent - Health
8/29/2018
1/31/2024
Inactive
Fjelstad, Jessica Ann
979792
Agent - Life
8/29/2018
1/31/2024
Inactive
Fredrich, Jay Allan
985037
Agent - Health
10/30/2019
3/10/2021
Inactive
Fredrich, Jay Allan
985037
Agent - Life
10/30/2019
3/10/2021
Inactive
Galla, Patrick Fields
365849
Agent - Health
2/13/2007
11/2/2016
Inactive
Galla, Patrick Fields
365849
Agent - Life
2/13/2007
11/2/2016
Active
Garrity, Robert K
1054074
Agent - Health
11/8/2019
Active
Garrity, Robert K
1054074
Agent - Life
11/12/2019
Active
Gatzke, Howard N
772949
Agent - Health
11/3/2016
Active
Gatzke, Howard N
772949
Agent - Life
11/3/2016
Active
Gonsorowski, Karla Therese
1277163
Agent - Health
7/5/2023
Inactive
Greer, Garry L
371662
Agent - Health
2/13/2007
11/2/2016
Inactive
Greer, Garry L
371662
Agent - Life
2/13/2007
11/2/2016
Inactive
Griffin, Philip Allen
341063
Agent - Health
4/22/2004
7/31/2008
Inactive
Griffin, Philip Allen
341063
Agent - Life
4/22/2004
7/31/2008
Inactive
Harris, Brian Todd
368001
Agent - Health
5/21/2019
7/31/2019
Inactive
Harris, Brian Todd
368001
Agent - Life
5/21/2019
7/31/2019
Inactive
Harrod, Jill Lee
360357
Agent - Health
5/19/2004
2/12/2007
Inactive
Harrod, Jill Lee
360357
Agent - Life
5/19/2004
2/12/2007
Inactive
Hicks, Staycee
1088780
Agent - Health
7/28/2021
4/7/2022
Inactive
Hicks, Staycee
1088780
Agent - Life
7/28/2021
4/7/2022
Inactive
Hundley, Jason
929368
Agent - Health
11/3/2016
12/17/2018
Inactive
Hundley, Jason
929368
Agent - Life
11/3/2016
12/17/2018
Active
Huseby, Darrell A
784299
Agent - Health
11/3/2016
Active
Huseby, Darrell A
784299
Agent - Life
11/3/2016
Inactive
James, Russell Skyler
818600
Agent - Health
11/3/2016
10/19/2017
Inactive
James, Russell Skyler
818600
Agent - Life
11/3/2016
10/19/2017
Inactive
Jenkins, David Terrill
310583
Agent - Health
2/13/2007
11/2/2016
Inactive
Jenkins, David Terrill
310583
Agent - Life
2/13/2007
11/2/2016
Active
Johnson, Michael L
340817
Agent - Health
11/3/2016
Active
Johnson, Michael L
340817
Agent - Life
11/3/2016
Inactive
Kime, Jodi Lynn
981210
Agent - Health
1/18/2018
5/7/2018
Inactive
Kime, Jodi Lynn
981210
Agent - Life
1/18/2018
5/7/2018
Active
King, Rob
1306632
Agent - Health
11/6/2023
Active
King, Rob
1306632
Agent - Life
11/6/2023
Active
Kormelink, Lisa Libs
809590
Agent - Health
3/2/2018
Active
Kormelink, Lisa Libs
809590
Agent - Life
3/2/2018
Active
Kraatz, Larry Andrew
1064877
Agent - Health
12/19/2019
Active
Kraatz, Larry Andrew
1064877
Agent - Life
12/19/2019
Active
Loveless, Steven Lawrence
545008
Agent - Health
11/3/2016
Active
Loveless, Steven Lawrence
545008
Agent - Life
11/3/2016
Inactive
Makarem, Mohamed
788158
Agent - Health
11/3/2016
1/4/2017
Inactive
Makarem, Mohamed
788158
Agent - Life
11/3/2016
1/4/2017
Inactive
McArtor, Gerald W
377935
Agent - Health
4/22/2004
8/9/2004
Inactive
McArtor, Gerald W
377935
Agent - Life
4/22/2004
8/9/2004
Inactive
Mcfarlane, Oneil Android
1104840
Agent - Health
8/23/2021
2/8/2022
Inactive
Moncrief, Thomas E
1164417
Agent - Life
11/3/2021
1/24/2022
Inactive
Nord-Nash, Kimberly Kay
983821
Agent - Health
2/16/2018
6/8/2023
Inactive
Nord-Nash, Kimberly Kay
983821
Agent - Life
2/16/2018
5/24/2021
Inactive
Otterback, Larry Ellis
336959
Agent - Health
4/1/2005
4/5/2005
Inactive
Otterback, Larry Ellis
336959
Agent - Life
4/1/2005
4/5/2005
Active
Peltzman, Carl J
1337079
Agent - Health
5/9/2024
Denied
Peltzman, Carl J
1337079
Agent - Life
Inactive
Perkins, Christopher J
1324033
Agent - Health
3/12/2025
4/7/2025
Inactive
Perkins, Christopher J
1324033
Agent - Life
3/12/2025
4/7/2025
Inactive
Peterson, Thomas D
772945
Agent - Health
11/3/2016
4/30/2019
Inactive
Peterson, Thomas D
772945
Agent - Life
11/3/2016
4/30/2019
Inactive
Roark, Elizabeth W
366892
Agent - Health
5/3/2004
4/11/2005
Inactive
Roark, Elizabeth W
366892
Agent - Life
5/3/2004
4/11/2005
Inactive
Romano, Mario
1073931
Agent - Health
3/10/2020
8/14/2020
Inactive
Romano, Mario
1073931
Agent - Life
3/10/2020
8/14/2020
Denied
Safranski, Wayne Frank
811971
Agent - Health
Denied
Safranski, Wayne Frank
811971
Agent - Life
Active
Schiller, Anthony
839436
Agent - Health
11/3/2016
Active
Schiller, Anthony
839436
Agent - Life
11/3/2016
Active
Schwab, Werner G
786751
Agent - Health
6/16/2021
Active
Schwab, Werner G
786751
Agent - Life
6/16/2021
Inactive
Schwitz, Steven P
325349
Agent - Health
7/10/2017
2/25/2019
Inactive
Schwitz, Steven P
325349
Agent - Life
7/10/2017
2/25/2019
Active
Selig, Catherine Terese
1240048
Agent - Health
3/5/2025
Inactive
Sexton, Frances J
316052
Agent - Health
6/6/2005
2/12/2007
Inactive
Sexton, Frances J
316052
Agent - Life
6/6/2005
2/12/2007
Active
Shea, Stephen
749206
Agent - Health
4/3/2019
Active
Shea, Stephen
749206
Agent - Life
4/17/2019
Inactive
Stanford, Tarry L
367591
Agent - Health
4/22/2004
2/12/2007
Inactive
Stanford, Tarry L
367591
Agent - Life
4/22/2004
2/12/2007
Active
Stanton, Scott W
745179
Agent - Health
3/14/2025
Active
Stanton, Scott W
745179
Agent - Life
3/26/2025
Inactive
Summers, Gerald O
386481
Agent - Health
2/13/2007
1/31/2009
Inactive
Summers, Gerald O
386481
Agent - Life
2/13/2007
1/31/2009
Denied
Touhey, Phillip S
775439
Agent - Health
Denied
Touhey, Phillip S
775439
Agent - Life
Active
Velieri, Susan Lucille
1142598
Agent - Health
1/29/2025
Active
Velieri, Susan Lucille
1142598
Agent - Life
2/5/2025
Active
Weinberg, Sharon
1126203
Agent - Health
10/30/2021
Active
Weinberg, Sharon
1126203
Agent - Life
4/19/2021
Inactive
Whittington, Alan Stanley
384994
Agent - Health
4/29/2004
8/9/2004
Inactive
Whittington, Alan Stanley
384994
Agent - Life
4/29/2004
8/9/2004
Inactive
Williams, Kenneth T
1025941
Agent - Health
4/26/2019
3/31/2021
Inactive
Williams, Kenneth T
1025941
Agent - Life
4/26/2019
3/31/2021
Inactive
Wills, Davylynne
1208861
Agent - Health
6/30/2022
3/31/2023
Inactive
Wills, Davylynne
1208861
Agent - Life
6/30/2022
3/31/2023
Inactive
Wilson, Steven Paul
1135794
Agent - Health
10/1/2021
5/30/2024
Inactive
Wilson, Steven Paul
1135794
Agent - Life
8/5/2021
5/30/2024
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