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:	CHICAGO
State:	IL
Zip:	60654
Phone:	888-322-7557
Fax:
Business Web Site Address:
Business Email Address:	LICENSING@GOHEALTH.COM
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
SHIKITA NUNNERY	PRODUCER	17416439	YES		01/16/2018
STACEY JOHNSON	PRODUCER	17658863	YES		01/16/2018
STANLEY BUKOWSKI	PRODUCER	17056075	YES		01/16/2018
STEVEN SWINGLER	PRODUCER	18509287	YES		01/16/2018
STEVEN SMITH	PRODUCER	17069339	YES		01/16/2018
STEVEN REED	PRODUCER	17741028	YES		01/16/2018
STEVEN POWELL	PRODUCER	15657413	YES		01/16/2018
STEVEN REZNIKOV	PRODUCER	9018081	YES		01/16/2018
TAMELA DARDEN	PRODUCER	17391313	YES		01/16/2018
TAMMIE PEEPLES	PRODUCER	3209426	YES		01/16/2018
TANGERIA ANDERSON	PRODUCER	17066995	YES		01/16/2018
TERRILIN CUNNINGHAM	PRODUCER	17041857	YES		01/16/2018
TIFFANY PERRY	PRODUCER	16988652	YES		01/16/2018
TIMOTHY CAMPBELL	PRODUCER	18063554	YES		01/16/2018
TONY SCOTT	PRODUCER	6606911	YES		01/16/2018

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
TRENTON HILL	PRODUCER	18574941	YES		01/16/2018
TRISTAN THERKIELD	PRODUCER	17438117	YES		01/16/2018
TYRUS THREATT	PRODUCER	18033748	YES		01/16/2018
VANESSA ALVARADO	PRODUCER	18498368	YES		01/16/2018
WILLIAM NEIL	PRODUCER	18015348	YES		01/16/2018
WILLIAM WALLACE	PRODUCER	11839078	YES		01/16/2018
WILLIE HILL	PRODUCER	17380053	YES		01/16/2018
ZAKIYA KIDD	PRODUCER	17400475	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