DEPARTMENT OF INSURANCE

Affiliations

Name	Golub, Dina M	DOIID	785013	NAIC NPN	11171936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/27/2012	2/28/2022
Inactive	Non Resident	Agent	Life	6/27/2012	2/28/2022
* 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	Accendo Insurance Company	300312	Agent - Health	11/1/2021	2/28/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	11/1/2021	2/28/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/22/2015	7/5/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/1/2021	2/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/22/2015	7/5/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/22/2015	7/5/2018
Inactive	American National Insurance Company	301861	Agent - Health	9/19/2012	2/20/2015
Inactive	American National Insurance Company	301861	Agent - Life	9/19/2012	2/20/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/16/2020	12/9/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/15/2014	3/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/16/2012	12/27/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	7/16/2012	12/27/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/1/2021	2/28/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/1/2021	2/28/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/22/2015	7/5/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	1/22/2015	7/5/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/15/2014	3/23/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/12/2013	3/2/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/12/2013	3/2/2022
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/26/2015	10/3/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/15/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/15/2014	3/23/2016
Inactive	Independence American Insurance Company	524747	Agent - Health	9/19/2018	12/18/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	9/19/2018	2/28/2022
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	12/28/2012	11/3/2016
Inactive	Time Insurance Company	300683	Agent - Health	6/28/2012	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	6/28/2012	11/23/2019
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/26/2012	2/28/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	5/11/2018	4/20/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	5/11/2018	4/20/2022