DEPARTMENT OF INSURANCE

Affiliations

Name	Goff, Nicholas Daryl	DOIID	721636	NAIC NPN	7884601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/22/2010	12/31/2018
Inactive	Non Resident	Agent	Life	1/22/2010	12/31/2018
* 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	American General Life Insurance Company	301585	Agent - Health	8/9/2015	12/31/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	8/9/2015	12/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/14/2010	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/14/2010	11/3/2016
Inactive	CMD Health, Inc.	702047	Agent - Health	6/4/2012	3/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/26/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/21/2014	7/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/21/2014	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/26/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/26/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/26/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/26/2012	9/3/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/31/2010	1/24/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/31/2010	1/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/26/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/26/2012	9/3/2013
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/18/2015	7/17/2017
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	11/21/2014	7/17/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/19/2010	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/19/2010	9/9/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/13/2015	12/22/2016
Inactive	Time Insurance Company	300683	Agent - Health	10/30/2012	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/30/2012	12/20/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/19/2010	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/19/2010	9/9/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/4/2017	12/31/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/4/2017	12/31/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/4/2017	12/31/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/4/2017	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/14/2010	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/14/2010	11/2/2016