DEPARTMENT OF INSURANCE

Affiliations

Name	Bromberg, David Howard	DOIID	981076	NAIC NPN	17001729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/10/2018	6/30/2025
Active	Non Resident	Agent	Life	1/10/2018	6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	11/23/2020	7/24/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/11/2019	7/24/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/13/2018	2/12/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/29/2021	3/9/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/29/2021	12/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/29/2021	3/9/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/29/2021	3/9/2022
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/7/2018	9/13/2021
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/7/2018	9/13/2021
Active	CareSource Kentucky Co.	838179	Agent - Health	6/12/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/17/2020	1/6/2025
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/4/2018	6/27/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/4/2018	6/27/2018
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/29/2021	12/12/2024
Inactive	Federal Insurance Company	301144	Agent - Health	7/19/2019	8/24/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	5/17/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	5/17/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/24/2019	2/16/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	1/15/2018	8/28/2018
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	5/8/2023	7/30/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/1/2018	11/18/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/15/2023	4/29/2025
Inactive	United States Fire Insurance Company	582240	Agent - Health	10/18/2019	5/8/2023
Active	Wellfleet Insurance Company	300542	Agent - Health	5/25/2023

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 - Health	12/7/2018	8/16/2022