DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goin, Bruce Robert	DOIID	687303	NAIC NPN	600417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	9/2/2009		10/31/2024
Active	Non Resident	Agent	Health	8/19/2008		10/31/2024
Active	Non Resident	Agent	Life	8/19/2008		10/31/2024
* 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
Administrator	08/15/2024	10/31/2024
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/13/2013	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/25/2014	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/25/2014	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	1/25/2014	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	1/25/2014	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/13/2013	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/13/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/25/2014	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/25/2014	5/1/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/17/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/17/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Complete Insurance Source Inc.	708355	Agent - Life	6/25/2009	9/26/2012
Inactive	Complete Insurance Source Inc.	708355	Agent - Health	6/25/2009	9/26/2012
Inactive	Complete Insurance Source Inc.	708355	Administrator - Not Applicable	9/23/2009	3/26/2013
Inactive	Digital Insurance LLC	521672	Agent - Life	9/1/2011	12/1/2016
Inactive	Digital Insurance LLC	521672	Agent - Health	9/1/2011	12/1/2016
Inactive	Plansource Benefits Administration, Inc.	708356	Agent - Life	6/25/2009	6/13/2012
Inactive	Plansource Benefits Administration, Inc.	708356	Agent - Health	6/25/2009	6/13/2012