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.

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
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/29/2021
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
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/17/2020
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
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/29/2021
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
Active	Unified Life Insurance Company	543169	Agent - Health	5/15/2023
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