DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goss, Michael	DOIID	1091180	NAIC NPN	19588868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/10/2020		12/31/2025
Active	Resident	Agent	Property	8/10/2020		12/31/2025
Active	Resident	Surplus Lines Broker	Not Applicable	12/27/2023		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025
Surplus Lines Broker	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All America Insurance Company	300078	Agent - Casualty	5/14/2024
Active	All America Insurance Company	300078	Agent - Property	5/14/2024
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	5/5/2025
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	6/7/2024
Active	Central Insurance Company	300965	Agent - Casualty	5/14/2024
Active	Central Insurance Company	300965	Agent - Property	5/14/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/20/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/20/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/20/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/20/2021
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/20/2021
Active	Cincinnati Insurance Company	301298	Agent - Property	1/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	The Underwriters Group, Inc	674720	Agent - Casualty
Denied	The Underwriters Group, Inc	674720	Agent - Property