DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldman, David S	DOIID	622473	NAIC NPN	1435326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/21/2005	9/30/2016
Inactive	Non Resident	Agent	Health	12/21/2005	9/30/2016
* 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 Life Insurance Company	301209	Agent - Health	9/4/2015	9/30/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/4/2015	9/30/2016
Inactive	Arch Insurance Company	300688	Agent - Health	3/15/2013	9/30/2016
Inactive	C.M. Life Insurance Company	301335	Agent - Health	11/13/2006	11/14/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/13/2006	11/14/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	11/13/2006	11/14/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	11/13/2006	11/14/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/24/2015	9/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/4/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/4/2015	11/2/2016
Inactive	Hilb Rogal & Hobbs Of Colorado Inc	638524	Agent - Health	11/13/2006	3/23/2009
Inactive	Hilb Rogal & Hobbs Of Colorado Inc	638524	Agent - Life	11/13/2006	3/23/2009
Inactive	Willis Of Colorado Inc	696514	Agent - Health	3/6/2009	1/27/2016
Inactive	Willis Of Colorado Inc	696514	Agent - Life	3/6/2009	1/27/2016