Individual Information

LIOR CHAOUL GOLDSTEIN

DALLAS, TX 75252

Active

lior@innovativebps.com

02/20/2024

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3984068	02/20/2024	Active	02/20/2024	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/20/2024	Active	02/20/2024
Life	02/20/2024	Active	02/20/2024

Company Name	Appointment Type	Status	Active Date
36
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS	Health	Active	04/30/2024
	Life	Active	04/30/2024
48
Company Name	Appointment Type	Status	Active Date
AMERICAN HERITAGE LIFE INSURANCE COMPANY	Health	Active	09/11/2024
	Life	Active	09/11/2024
1180
Company Name	Appointment Type	Status	Active Date
DIRECT GENERAL LIFE INSURANCE COMPANY	Health	Active	09/03/2025
	Life	Active	09/03/2025
793
Company Name	Appointment Type	Status	Active Date
FIDELITY SECURITY LIFE INSURANCE COMPANY	Health	Active	01/15/2026
	Life	Active	01/15/2026
1408
Company Name	Appointment Type	Status	Active Date
HUMANA HEALTH PLAN INCORPORATED	Health	Active	02/17/2026
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	02/17/2026
	Life	Active	02/17/2026
442
Company Name	Appointment Type	Status	Active Date
NATIONAL GUARDIAN LIFE INSURANCE COMPANY	Health	Active	12/19/2024
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	11/27/2024
	Life	Active	11/27/2024
2
Company Name	Appointment Type	Status	Active Date
NEVADA PACIFIC DENTAL	Health	Active	10/03/2025
654
Company Name	Appointment Type	Status	Active Date
UNITEDHEALTHCARE INSURANCE COMPANY	Health	Active	10/03/2025
	Life	Active	10/03/2025

row(s) 1 - 17 of 17

Organization	Association Type	Type	Beg dte	End dte
INNOVATIVE BPS LLC	Designated Resp Lic Prdcr	Agency	11/19/2024	-

1 - 1