DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldbach, Leslie Anne	DOIID	518136	NAIC NPN	7021314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/20/2023		8/31/2025
Active	Resident	Agent	Life	11/20/2023		8/31/2025
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/2/2001	6/18/2015
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/2/2001	10/10/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/21/2001	6/18/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/27/2001	6/18/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/8/2013	10/29/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	11/21/2017	2/22/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	11/21/2017	2/22/2021
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/16/2006	12/7/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/16/2006	12/7/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	10/29/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	6/18/2015
Denied	Green & Halliburton, Inc.	398934	Agent - Health
Denied	Green & Halliburton, Inc.	398934	Agent - Life