DEPARTMENT OF INSURANCE

Affiliations

Name	Goldberg, Andrew L	DOIID	797356	NAIC NPN	16436941

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	8/10/2023	4/30/2025
Pending Replacement	Non Resident	Agent	Life	8/10/2023	4/30/2025
* 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	5 Star Life Insurance Company	300673	Agent - Health	8/23/2016	4/15/2019
Inactive	5 Star Life Insurance Company	300673	Agent - Life	8/23/2016	4/15/2019
Inactive	ACE American Insurance Company	300625	Agent - Health	8/15/2017	4/13/2020
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	10/19/2015	4/12/2016
Inactive	AXIS Insurance Company	301290	Agent - Health	12/7/2020	4/30/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/24/2019	5/7/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	11/26/2012	4/30/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	11/26/2012	4/30/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	3/9/2018	3/13/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	3/9/2018	3/13/2019
Inactive	Aspen American Insurance Company	301513	Agent - Health	12/18/2019	4/10/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/20/2013	5/20/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	4/30/2014	7/5/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	4/11/2019	10/4/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/20/2013	5/20/2014
Inactive	Everest Reinsurance Company	301836	Agent - Health	1/25/2017	10/10/2017
Inactive	Federal Insurance Company	301144	Agent - Health	4/27/2017	4/13/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/11/2023	10/11/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/11/2023	10/11/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/28/2023	7/1/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/28/2023	7/1/2024
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/23/2014	7/5/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/28/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/20/2013	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/20/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/20/2013	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2013	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/20/2013	5/28/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/28/2015
Inactive	LifeShield National Insurance Company	737111	Agent - Health	8/23/2018	4/13/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/15/2019	4/30/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/11/2020	4/30/2021
Inactive	National Health Insurance Company	300554	Agent - Health	4/20/2015	3/1/2018
Inactive	National Health Insurance Company	300554	Agent - Life	4/20/2015	7/6/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	9/21/2023	4/15/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/26/2012	4/30/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	9/25/2023	5/5/2025
Inactive	United States Fire Insurance Company	582240	Agent - Health	1/31/2013	4/30/2021
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	3/5/2014	11/25/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2013	5/19/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/15/2013	5/19/2015

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	4/13/2018	4/16/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/4/2020	4/30/2021