DEPARTMENT OF INSURANCE

Affiliations

Name	Goffin, Jack Barry	DOIID	788175	NAIC NPN	3146639

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/24/2012	9/30/2021
Inactive	Resident	Agent	Life	8/24/2012	9/30/2021
* 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 Memorial Life Insurance Company	301445	Agent - Life	11/20/2018	2/2/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/26/2014	3/2/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/26/2014	3/2/2015
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	3/5/2014	2/11/2015
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	3/5/2014	2/11/2015
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/24/2012	10/9/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/24/2012	10/9/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	8/24/2012	10/9/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	8/24/2012	10/9/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/6/2014	8/14/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/6/2014	8/14/2015
Inactive	Everly Life Insurance Company	561641	Agent - Life	5/2/2018	11/14/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	8/14/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/6/2014	8/14/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/6/2014	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/6/2014	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/6/2014	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/6/2014	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/6/2014	8/14/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	8/14/2015
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/6/2014	12/20/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/6/2014	2/17/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/6/2014	8/14/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/6/2014	8/14/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/20/2018	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Braden Ins Agency Inc.	398256	Agent - Life	2/26/2014	1/5/2015
Inactive	Braden Ins Agency Inc.	398256	Agent - Health	2/26/2014	1/5/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/26/2014	3/2/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/26/2014	3/2/2015