DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goodman, Howard Baker	DOIID	697697	NAIC NPN	5943889

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/11/2009	3/31/2022
Inactive	Non Resident	Agent	Life	2/11/2009	3/31/2022
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	2/23/2010	3/31/2022
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	2/23/2010	3/31/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	9/8/2009	4/30/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	9/8/2009	4/30/2022
Inactive	Humana Insurance Company	301104	Agent - Health	6/11/2018	6/4/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/11/2018	6/4/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/24/2018	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/24/2018	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/24/2018	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/24/2018	7/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Health	11/21/2016	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Life	11/21/2016	1/7/2020
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/1/2020	3/31/2022
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/1/2020	3/31/2022