DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goss, Richard Anthony	DOIID	359117	NAIC NPN	1502856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2005
Inactive	Resident	Agent	Credit Life & Health	7/13/1995	8/7/2000
* 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	American National Insurance Company	301861	Agent - Limited Line Credit	7/10/2001	12/21/2004
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	7/13/1995	12/20/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	6/1/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2005
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	3/14/2000	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	3/31/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/22/1998	1/25/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	6/12/1997	9/22/1998
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Credit Life & Health	12/20/1996	6/12/1997
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	5/27/2003	6/18/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acura at Oxmoor	398860	Agent - Credit Life & Health	6/9/1999	8/7/2000
Inactive	Acura at Oxmoor	398860	Agent - Limited Line Credit	8/7/2000	2/14/2003
Inactive	Bob Hook Chevrolet Inc.	502116	Agent - Limited Line Credit	1/6/2004	3/31/2005
Inactive	Tri City Oldsmobile Inc.	399721	Agent - Credit Life & Health	7/13/1995	5/8/1996