DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldberg, Mark Harvey	DOIID	667441	NAIC NPN	1191842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/20/2025		4/30/2027
Inactive	Non Resident	Agent	Health	6/9/2015	4/30/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2027	04/30/2027

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACSIA Partners LLC	784413	Agent - Health	6/19/2012	3/1/2013
Inactive	ACSIA Partners LLC	784413	Agent - Life	6/19/2012	3/1/2013
Inactive	Senior Commission Funding LLC	777300	Agent - Health	3/1/2013	4/30/2013
Inactive	Senior Commission Funding LLC	777300	Agent - Life	3/1/2013	4/30/2013