DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mousso, Gregory Michael	DOIID	1025479	NAIC NPN	16220270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/15/2019		7/31/2025
Active	Non Resident	Agent	Life	1/15/2019		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	3/5/2019	7/24/2019
Inactive	All Savers Insurance Company	301940	Agent - Life	3/5/2019	7/24/2019
Active	Anthem Life Insurance Company	301209	Agent - Health	2/6/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	2/6/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/5/2019	7/24/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/5/2019	7/24/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	2/6/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	2/6/2019
Active	Paychex Insurance Agency Inc	509469	Agent - Life	2/6/2019
Active	Paychex Insurance Agency Inc	509469	Agent - Health	2/6/2019