DEPARTMENT OF INSURANCE

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.

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	BusinessFirst Insurance Company	722488	Agent - Casualty	6/7/2024
Active	Central Mutual Insurance Company	300965	Agent - Casualty	5/14/2024
Active	Central Mutual 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