DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gooch, Doris Ann	DOIID	373067	NAIC NPN	7201535

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/12/1991	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	4/7/1994	3/31/1997
Inactive	Resident	Agent	Life	12/12/1991	7/1/2002
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/23/1995	3/28/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/23/1995	3/28/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/7/1994	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/30/1996	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/30/1996	12/31/1998
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	8/30/1993	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	8/30/1993	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	11/29/1995	2/15/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	11/29/1995	2/15/2002
Inactive	USG Annuity & Life Company	300457	Agent - Life	2/22/1995	2/15/2002
Inactive	Victory Life Insurance Company (The)	301357	Agent - Health	2/16/1993	3/31/1997
Inactive	Victory Life Insurance Company (The)	301357	Agent - Life	2/16/1993	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	12/12/1991	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	12/12/1991	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Life	3/2/1994	7/1/2002
Inactive	Insurance One Inc.	399840	Agent - Health	3/2/1994	7/1/2002