DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goncalves, Douglas Persigo	DOIID	621213	NAIC NPN	8597778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/2/2009	11/30/2014
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	4/13/2012	12/4/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/27/2010	12/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/13/2012	12/4/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/6/2009	12/4/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/6/2009	12/4/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	12/4/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	United States Pharmaceutical Group LLC	620386	Agent - Health