DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldfarb, Benjamin B	DOIID	666821	NAIC NPN	257225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/24/2007	9/30/2012
Inactive	Non Resident	Agent	Property	10/24/2007	9/30/2012
* 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	FCCI Insurance Company	557454	Agent - Casualty	12/6/2007	6/22/2010
Inactive	FCCI Insurance Company	557454	Agent - Property	12/6/2007	6/22/2010
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	12/6/2007	6/22/2010
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	12/6/2007	6/22/2010
Inactive	National Trust Insurance Company	300367	Agent - Casualty	12/6/2007	6/22/2010
Inactive	National Trust Insurance Company	300367	Agent - Property	12/6/2007	6/22/2010
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	10/1/2009	9/3/2010
Inactive	Rural Community Insurance Company	301891	Agent - Property	10/1/2009	9/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Property	12/6/2007	1/13/2010
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Casualty	12/6/2007	1/13/2010