DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goolab, Marrion Sami	DOIID	882102	NAIC NPN	17061579

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/5/2019	7/31/2022
Inactive	Non Resident	Agent	Health	7/5/2019	7/31/2022
* 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	ACE American Insurance Company	300625	Agent - Health	1/13/2017	7/31/2018
Inactive	AXIS Insurance Company	301290	Agent - Health	4/27/2016	7/31/2018
Inactive	Federal Insurance Company	301144	Agent - Health	1/13/2017	7/31/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/7/2015	7/17/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/7/2015	7/17/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/1/2016	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/1/2016	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/1/2016	6/15/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	11/19/2019	12/10/2020
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/19/2019	7/31/2022

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	6/15/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/13/2018	7/31/2018