DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldstein, Daniel M	DOIID	865950	NAIC NPN	3296710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	1/15/2015		7/31/2026
Active	Non Resident	Agent	Life	1/15/2015		7/31/2026
Active	Non Resident	Agent	Property	1/15/2015		7/31/2026
Active	Non Resident	Agent	Casualty	1/15/2015		7/31/2026
Active	Non Resident	Agent	Health	1/15/2015		7/31/2026
* 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	Dental Concern Inc. (The)	301641	Agent - Health	5/26/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/26/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	5/26/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	5/26/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/26/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/26/2015	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure Insurance Partners Services Of NY LLC	1250681	Agent - Health
Pending	Acrisure Insurance Partners Services Of NY LLC	1250681	Agent - Property
Pending	Acrisure Insurance Partners Services Of NY LLC	1250681	Agent - Casualty
Pending	Acrisure Insurance Partners Services Of NY LLC	1250681	Agent - Life
Denied	Acrisure LLC	696181	Agent - Health
Denied	Acrisure LLC	696181	Agent - Property
Denied	Acrisure LLC	696181	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Personal Lines
Denied	Acrisure LLC	696181	Agent - Life
Inactive	The Whitmore Group Ltd	514569	Agent - Health	5/26/2015	12/8/2015
Denied	The Whitmore Group Ltd	514569	Agent - Property
Denied	The Whitmore Group Ltd	514569	Agent - Casualty
Inactive	The Whitmore Group Ltd	514569	Agent - Personal Lines	1/22/2015	3/31/2023
Inactive	The Whitmore Group Ltd	514569	Agent - Life	5/26/2015	12/8/2015