DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

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