DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goucher, Mary Ann	DOIID	546465	NAIC NPN	7224659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/2/2002		7/31/2026
Active	Resident	Agent	Life	1/14/2021		7/31/2026
Inactive	Resident	Temporary Agent	Life	7/1/2020	12/28/2020
* 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	Ameritas Life Insurance Corporation	300126	Temporary Agent - Life	7/1/2020	12/28/2020
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/30/2006	3/31/2019
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/11/2013	10/29/2015
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/2/2002	3/1/2005
Denied	Midland National Life Insurance Company	300923	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	9/26/2011	3/31/2019
Inactive	Neace Lukens, Inc.	398909	Agent - Health	8/2/2010	3/31/2014
Inactive	R. Carr Insurance Agency Inc.	399034	Agent - Health	8/5/2002	3/1/2005