DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Life	11/20/2023		8/31/2027
Active	Resident	Agent	Health	11/20/2023		8/31/2027
* 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	06/15/2025	08/31/2025	06/17/2025	06/17/2025	Yes

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