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
MAGGIE PROPST	PRODUCER	16420792	YES		01/16/2018
MAHMOUD AHMED	PRODUCER	17234573	YES		01/16/2018
MARCUS MCCASKILL	PRODUCER	17423143	YES		01/16/2018
MARY CLARKE	PRODUCER	17074177	YES		01/16/2018
MATTHEW MARTIN	PRODUCER	17832389	YES		01/16/2018
MATTHEW SEGGELING	PRODUCER	8151611	YES		01/16/2018
MELISA DANIELS	PRODUCER	17442758	YES		01/16/2018
MICHAEL KING	PRODUCER	16812778	YES		01/16/2018
MICHAEL RICE	PRODUCER	18106628	YES		01/16/2018
MYLIA STINSON	PRODUCER	17605839	YES		01/16/2018
MYRA CROWELL	PRODUCER	17089699	YES		01/16/2018
MYRA REYNOLDS	PRODUCER	17067023	YES		01/16/2018
NAFIS ABDULLAH	PRODUCER	17409165	YES		01/16/2018
NAKITA DAWKINS	PRODUCER	17309663	YES		01/16/2018
NAPOLIAN SOPON	PRODUCER	10784067	YES		01/16/2018

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
PAULSON SEBAGALA	PRODUCER	18037310	YES		01/16/2018
PEDRO MENDOZA	PRODUCER	18550102	YES		01/16/2018
PRERNA KHULLAR	PRODUCER	18492167	YES		01/16/2018
RENITA LAMBERT	PRODUCER	17072746	YES		01/16/2018
RICHARD RAZO	PRODUCER	18574942	YES		01/16/2018
ROCCO CAPPIELLO	PRODUCER	17410886	YES		01/16/2018
ROY KISSEL	PRODUCER	17423188	YES		01/16/2018
SAM TOURLOUKIS	PRODUCER	3338189	YES		01/16/2018
SHAKIMA JAMISON	PRODUCER	16812398	YES		01/16/2018
SHARON DRAKE	PRODUCER	8567641	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