black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NATIONAL INDEPENDENT BROKERS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN254978
Status:
First Licensure:
08/26/2015
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
10700 OLD COUNTY ROAD 15 STE 450
PLYMOUTH, MN 55441-6147
Mailing:
10700 OLD COUNTY ROAD 15 STE 450
PLYMOUTH, MN 55441-6147
Phone:
+1 (763) 525-1111
Fax:
+1 (866) 863-8609
Email:
lga@goldencareusa.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/26/2015 04/01/2027

Alias, DBA or Trade Name

Name
GOLDENCARE USA INC

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
09/11/2015 HMD45749
AETNA LIFE INSURANCE COMPANY
09/11/2015 LHF621
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
04/14/2022 LHF374
AMH HEALTH PLANS OF MAINE, INC.
07/19/2022 LHD353013
AMH HEALTH, LLC
05/15/2020 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
10/15/2017 LHD70566
ARCADIAN HEALTH PLAN INC
08/31/2015 HMF112421
CHESAPEAKE LIFE INSURANCE COMPANY
04/08/2019 LHF699 02/03/2025
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
10/20/2020 LHF168
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
09/11/2015 LHF842
HUMANA BENEFIT PLAN OF ILLINOIS INC
08/31/2015 LHF202755 01/18/2018
HUMANA INSURANCE COMPANY
08/31/2015 LHF980
HUMANADENTAL INSURANCE COMPANY
08/31/2015 LHF173873
SILVERSCRIPT INSURANCE COMPANY
09/19/2023 LHF132429
STATE LIFE INSURANCE COMPANY
04/21/2021 LHF984
WASHINGTON NATIONAL INSURANCE COMPANY
04/07/2020 LHF294
WELLCARE OF MAINE, INC.
04/14/2022 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
04/14/2022 LHF121869

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
LEONARD GARY ANDERSON
08/26/2015 PRN26265
DEANNA LYNN CASTRO
02/11/2025 PRN507696
JENNIFER B. FELTEN
06/03/2021 PRN384458
KARLA THERESE GONSOROWSKI
06/12/2023 PRN453879
STAYCEE HICKS
07/29/2021 PRN356363
MICHELLE L. HORAK
08/04/2020 PRN349148
DARRELL A. HUSEBY
12/11/2017 PRN255123
ROB KING
02/04/2025 PRN506715
STEVEN LAWRENCE LOVELESS
02/04/2025 PRN506718
MATTHEW J. MULLANE
02/04/2025 PRN506644
KIM MESSICK PURNELL
01/03/2019 PRN68612
MARIO ROMANO
11/29/2022 PRN349293
WAYNE FRANK SAFRANSKI
06/25/2019 PRN333167
WERNER G. SCHWAB
02/23/2024 PRN477086
CATHERINE TERESE SELIG
03/14/2025 PRN436095
STEPHEN SHEA
01/22/2020 PRN347396
RONALD J. STOLLER
02/04/2025 PRN506721
STEPHANIE ANNE WEYHRAUCH
02/10/2025 PRN507525

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JENNIFER B. FELTEN PRN384458

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
654476

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/05/2025 09:41:31 PM