DEPARTMENT OF INSURANCE

Affiliations

Name	Goins, David Wayne	DOIID	510305	NAIC NPN	6997470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	8/11/2000	8/15/2000
Inactive	Resident	Agent	Health	9/17/2002	9/1/2010
Inactive	Resident	Agent	Property	9/17/2002	9/1/2010
Inactive	Resident	Agent	Casualty	9/17/2002	9/1/2010
Inactive	Resident	Agent	Life	9/17/2002	9/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	8/26/2003	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/26/2003	11/21/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/18/2003	6/6/2007
Inactive	American General Life Insurance Company	301585	Agent - Health	5/11/2007	9/1/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	5/11/2007	9/1/2010
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	8/29/2003	1/18/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	10/18/2002	9/1/2010
Inactive	Assurance Company of America	300432	Agent - Property	10/18/2002	9/1/2010
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	10/18/2002	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - Property	10/18/2002	11/30/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	9/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/2/2007	9/1/2010
Inactive	EMC National Life Company	300388	Agent - Life	10/10/2002	8/25/2010
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	10/10/2002	8/27/2010
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	10/10/2002	8/27/2010
Inactive	Encova Life Insurance Company	301818	Agent - Health	9/29/2000	7/1/2002
Inactive	Encova Life Insurance Company	301818	Agent - Life	2/20/2004	9/1/2010
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	11/13/2007	9/1/2010
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	11/13/2007	9/1/2010
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/13/2007	9/1/2010
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/13/2007	9/1/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/13/2007	9/1/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/13/2007	9/1/2010
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/28/2000	7/1/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/8/2008	9/1/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/8/2008	9/1/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	9/17/2002	9/1/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	9/17/2002	9/1/2010
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	9/17/2002	9/1/2010
Inactive	GuideOne Insurance Company	301794	Agent - Property	9/17/2002	9/1/2010
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	4/3/2002	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	4/3/2002	9/30/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	9/17/2002	9/1/2010
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	9/17/2002	9/1/2010
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	10/10/2002	8/27/2010
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	10/10/2002	8/27/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2002	9/1/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2002	9/1/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/18/2002	9/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/24/2007	9/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/24/2007	9/1/2010
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	4/18/2001	7/1/2002
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	4/18/2001	7/1/2002
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	12/20/2004	6/8/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	9/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	9/1/2010
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003	2/15/2005
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/30/2003	2/15/2005
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	11/13/2008	9/1/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Property	11/13/2008	9/1/2010
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/26/2002	9/30/2010
Inactive	MICO Insurance Company	301664	Agent - Property	9/26/2002	9/30/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/18/2002	9/1/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	10/18/2002	9/1/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	11/13/2007	9/1/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	11/13/2007	9/1/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	9/26/2002	9/30/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	8/11/2000	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	9/26/2002	9/30/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/18/2002	9/1/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/18/2002	9/1/2010
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/19/2003	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/19/2003	9/3/2004
Inactive	Time Insurance Company	300683	Agent - Health	2/2/2005	9/1/2010
Inactive	Time Insurance Company	300683	Agent - Life	2/2/2005	9/1/2010
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	2/12/2004	10/18/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Health	11/14/2001	7/1/2002
Inactive	Union Central Life Insurance Company	300307	Agent - Life	11/14/2001	7/1/2002
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	9/23/2003	9/1/2010
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	9/23/2003	9/1/2010
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	9/23/2003	9/1/2010
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	9/23/2003	9/1/2010
Inactive	Westfield Insurance Company	301950	Agent - Casualty	4/30/2009	9/1/2010
Inactive	Westfield Insurance Company	301950	Agent - Property	4/30/2009	9/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/29/2005	9/1/2010
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Life	1/13/2004	9/1/2010
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Health	1/13/2004	9/1/2010
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Property	1/13/2004	9/1/2010
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Casualty	1/13/2004	9/1/2010