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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

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