DEPARTMENT OF INSURANCE

Affiliations

Name	Goldberg, Ronald Criag	DOIID	504786	NAIC NPN	2187418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/31/2005
Inactive	Non Resident	Agent	Life	2/15/2001	12/31/2005
Inactive	Non Resident	Agent	General Lines	4/3/2000	8/15/2000
Inactive	Non Resident	Agent	Property	1/16/2001	12/31/2005
Inactive	Non Resident	Agent	Health	2/15/2001	12/31/2005
* 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 Modern Home Insurance Company	300791	Agent - Casualty	7/16/2001	6/20/2003
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/16/2001	6/20/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	2/15/2001	12/31/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/15/2001	12/31/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/20/2003	12/31/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/20/2003	12/31/2005
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/20/2003	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/20/2003	12/1/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/26/2003	2/4/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/26/2003	2/4/2005
Inactive	LM General Insurance Company	300133	Agent - Casualty	8/15/2000	4/16/2003
Inactive	LM General Insurance Company	300133	Agent - Property	1/16/2001	4/16/2003
Inactive	LM Property and Casualty Insurance Company	301658	Agent - Casualty	1/16/2001	4/16/2003
Inactive	LM Property and Casualty Insurance Company	301658	Agent - Property	1/16/2001	4/16/2003
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	3/26/2001	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	3/26/2001	6/1/2001
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	3/15/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	3/15/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/26/2003	2/4/2005
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/26/2003	2/4/2005
Inactive	Virginia Surety Company, Inc.	301022	Agent - General Lines	4/3/2000	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Inslogic Corporation	513852	Agent - Property	10/3/2002	8/2/2004
Inactive	Inslogic Corporation	513852	Agent - Casualty	10/3/2002	8/2/2004