DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gold Star Insurance Agency, Inc	DOIID	1148117	NAIC NPN	19907423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/30/2021		3/31/2025
Active	Non Resident	Agent	Life	7/30/2021		3/31/2025
* 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	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bruner, Dustin Todd	851424	Agent - Health	5/16/2023
Active	Bruner, Dustin Todd	851424	Agent - Life	5/22/2023
Inactive	Simpkins, Johnathan Levi	746384	Agent - Health	7/30/2021	5/16/2023
Inactive	Simpkins, Johnathan Levi	746384	Agent - Life	7/30/2021	5/16/2023