DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gossage , Mitzi Dawn	DOIID	372086	NAIC NPN	7201067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	8/12/2011		5/31/2025
Inactive	Resident	Agent	Debtors Life	12/30/1999	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	4/27/1994	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	4/14/1994	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 Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	7/11/1996	8/7/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	8/7/2000	6/5/2003
Inactive	American National Property and Casualty Company	300392	Agent - Limited Line Credit	8/6/2014	7/20/2017
Inactive	American Reliable Insurance Company	301889	Agent - Limited Line Credit	8/26/2011	11/13/2013
Inactive	CNL/Insurance America, Inc.	562011	Agent - Limited Line Credit	8/25/2011	11/13/2013
Inactive	Employers Assurance Company	300120	Agent - Credit Personal Property & Unemployment	4/27/1994	3/31/1996
Active	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	6/21/2017
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	11/20/2019
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	10/4/2005	4/8/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Limited Line Credit	3/31/2009	7/28/2009
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Credit Personal Property & Unemployment	6/27/1994	8/7/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	8/7/2000	9/6/2006
Inactive	Securian Casualty Company	642441	Agent - Limited Line Credit	6/20/2017	1/9/2024
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/8/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	12/30/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	9/6/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/14/1994	9/8/1998
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	11/4/1997	8/7/2000
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Limited Line Credit	8/7/2000	12/16/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Best Financial Services, Inc.	399648	Agent - Limited Line Credit	4/15/2014	10/26/2016
Active	First Financial Credit Inc	400445	Agent - Limited Line Credit	11/16/2023
Inactive	Lendmark Financial Services, LLC	604892	Agent - Limited Line Credit	4/10/2018	11/2/2023
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Credit Life & Health	5/19/1999	8/7/2000
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Credit Personal Property & Unemployment	5/19/1999	8/7/2000
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Limited Line Credit	8/7/2000	3/31/2006