DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldman, Bradley A	DOIID	991825	NAIC NPN	18749595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/20/2018	5/31/2022
Inactive	Non Resident	Agent	Life	4/20/2018	5/31/2022
* 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	6/4/2018	7/20/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	7/19/2018	2/12/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/25/2019	4/19/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2019	4/19/2020
Inactive	Continental American Insurance Company	301700	Agent - Health	4/11/2019	10/4/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/7/2020	5/31/2022
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	7/18/2018	7/6/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/14/2019	5/31/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	6/14/2019	10/22/2020

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	1/2/2020	4/18/2022