DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goens, David Matthew	DOIID	608794	NAIC NPN	8471300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/1/2005	5/1/2019
Inactive	Resident	Agent	Health	6/1/2005	5/1/2019
* 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 Republic Insurance Company	300861	Agent - Health	8/31/2005	4/14/2006
Inactive	American Republic Insurance Company	300861	Agent - Life	8/31/2005	4/14/2006
Inactive	Homesteaders Life Company	300836	Agent - Life	3/9/2006	11/8/2012
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	4/20/2017	6/6/2019
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/6/2005	5/3/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/6/2005	5/3/2006
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	8/11/2006	4/28/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/28/2012	6/16/2014
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	6/1/2005	4/5/2006
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	6/1/2005	4/5/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Johnson-Vaughn-Phelps Funeral Home Inc	604833	Agent - Life	2/5/2007	4/18/2017
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	9/19/2005	5/3/2006
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	9/19/2005	3/2/2007