Notification of Changes for Business Entity
General Information
Business Entity Name:	GOHEALTH, LLC
Incorporation / Formation Date:
FEIN:	26-3235175
Ohio License Number:	38662
NPN:	11588226
DBA / Trade Name:
State of Domicile:	IL
County:	COOK
Business Address
Address 1:	214 W. HURON
Address 2:
City:	CHICAGSO
State:	IL
Zip:	60654
Phone:	888-322-7557
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	214 W. HURON
Address 2:
City:	CHICAGO
State:	IL
Zip:	60654
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	YES

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
ADAN HERNANDEZ	PRODUCER	16813829	YES		01/16/2018
ALICIA MOORE	PRODUCER	18342731	YES		01/16/2018
ANDRE BUCKNER	PRODUCER	17416416	YES		01/16/2018
ANISE WASHINGTON	PRODUCER	17099202	YES		01/16/2018
ANN HODGES	PRODUCER	18553072	YES		01/16/2018
ANTHONY BANKS	PRODUCER	17067005	YES		01/16/2018
ANTOINE SANDERS	PRODUCER	17040090	YES		01/16/2018
APRIL BRAGGS	PRODUCER	17409211	YES		01/16/2018
ANTONIO JONES	PRODUCER	18529993	YES		01/16/2018
AQUIL MCINTYRE	PRODUCER	17042354	YES		01/16/2018
ARETHA WRIGHT	PRODUCER	17227824	YES		01/16/2018
AVA STEVERSON	PRODUCER	17117870	YES		01/16/2018
BERNIE LEE THOMPSON	PRODUCER	17274406	YES		01/16/2018
BRANDON LEWIS	PRODUCER	8433040	YES		01/16/2018
BRITTANY WHITEHEAD	PRODUCER	17554421	YES		01/16/2018

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
BYRON WRIGHT	PRODUCER	16359934	YES		01/16/2018
CAMERON DOW	PRODUCER	17173356	YES		01/16/2018
CHRISTINE RZEPECKI	PRODUCER	1520328	YES		01/16/2018
CHRISTA WADE	PRODUCER	17444378	YES		01/16/2018
CHRISTIANA GONZALEZ	PRODUCER	15727457	YES		01/16/2018
CHRYSTAL BATTLE	PRODUCER	18044079	YES		01/16/2018
CHYONNE BURGER	PRODUCER	18055551	YES		01/16/2018
CORNELIUS SMITH	PRODUCER	2134974	YES		01/16/2018
CYNTHIA CORNELIUS	PRODUCER	18476096	YES		01/16/2018
DAMIR BOYD-CAREY	PRODUCER	17591063	YES		01/16/2018

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)	NO
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?	NO
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	JEREMY RASCH
Title:	LICENSING COORDINATOR
Phone Number:	312-784-7023
Email Address:	JRASCH@GOHEALTH.COM