DEPARTMENT OF INSURANCE
Affiliations
NameGoss Jr, Melvin AdolfDOIID393428NAIC NPN1889226
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife7/24/2014 6/30/2026
ActiveResidentAgentVariable Life and Variable Annuities7/24/2014 6/30/2026
ActiveResidentAgentHealth7/24/2014 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202406/30/202405/21/202405/21/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/24/201612/13/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/24/201612/13/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/24/201612/13/2021
InactiveAmeribest Life Insurance Company301390Agent - Life7/17/200012/31/2002
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life5/24/19997/18/2003
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20127/1/2014
ActiveAmerican General Life Insurance Company301585Agent - Life7/25/2014 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities7/25/2014 
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health6/9/200312/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life6/9/200312/31/2012
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life4/17/20021/18/2005
InactiveAmerican National Insurance Company301861Agent - Life6/14/19997/1/2014
InactiveAmerican States Life Insurance Company301884Agent - Health11/1/199811/26/2001
InactiveAmerican States Life Insurance Company301884Agent - Life11/1/199811/26/2001
InactiveAmericom Life & Annuity Insurance Company301843Agent - Health10/2/20039/30/2007
InactiveAmericom Life & Annuity Insurance Company301843Agent - Life10/2/20034/18/2006
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life7/3/20003/23/2012
InactiveAthene Annuity and Life Company301893Agent - Life9/16/201612/3/2021
InactiveAugustar Life Assurance Corporation301113Agent - Health11/7/19972/11/2002
InactiveAugustar Life Assurance Corporation301113Agent - Life11/7/19972/11/2002
InactiveAugustar Life Insurance Company301816Agent - Health10/20/19972/11/2002
InactiveAugustar Life Insurance Company301816Agent - Life3/25/20023/10/2007
InactiveAugustar Life Insurance Company301816Agent - Variable Life and Variable Annuities3/25/20023/10/2007
InactiveClarica Life Insurance Company - U.S.300207Agent - Life5/21/20024/26/2004
InactiveConseco Insurance Company301202Agent - Life6/10/199810/1/2010
InactiveEquiTrust Life Insurance Company502870Agent - Life12/15/20153/9/2021
InactiveEquitable Life Insurance Company of Iowa301633Agent - Health3/15/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life3/15/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Variable Life and Variable Annuities4/9/20011/1/2004
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health9/30/20077/28/2008
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/23/20027/28/2008
InactiveFirst Colony Life Insurance Company301179Agent - Health8/17/200412/20/2006
InactiveFirst Colony Life Insurance Company301179Agent - Life8/17/200412/20/2006
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/1/199812/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/1/199812/23/2008
InactiveForethought Life Insurance Company301407Agent - Health10/28/20155/29/2020
InactiveForethought Life Insurance Company301407Agent - Life10/28/20155/29/2020
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life1/18/2018 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/15/2020 
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health9/26/20091/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/25/201512/14/2016
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life3/14/20039/29/2011
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities3/14/20039/29/2011
InactiveIL Annuity and Insurance Company300772Agent - Life6/14/19996/30/2003
InactiveIndianapolis Life Insurance Company301381Agent - Life6/30/20033/21/2005
InactiveIntegrity Life Insurance Company301687Agent - Life3/21/200212/10/2002
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities3/21/200212/10/2002
ActiveJackson National Life Insurance Company300486Agent - Life11/6/2014 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/6/2014 
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health3/28/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life3/28/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities5/31/20017/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health3/6/20004/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life3/6/20004/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities5/31/20014/2/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health4/21/20094/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/21/20094/2/2013
InactiveLifeSecure Insurance Company301629Agent - Health6/11/19997/16/2001
InactiveLifeSecure Insurance Company301629Agent - Life6/11/19997/16/2001
InactiveLifeUSA Insurance Company300386Agent - Health4/6/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life4/6/19998/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/24/201410/12/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/24/201410/12/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/24/201410/12/2018
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life8/31/20155/2/2016
InactiveMetLife Investors Insurance Company301872Agent - Health5/9/20117/1/2014
InactiveMetLife Investors Insurance Company301872Agent - Life5/9/20117/1/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities5/9/20117/1/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health5/9/20117/1/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life5/9/20117/1/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities5/9/20117/1/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health5/11/20117/1/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life5/11/20117/1/2014
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/11/20117/1/2014
InactiveMidland Life Insurance Company (The)300310Agent - Health8/17/19993/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life8/17/19993/31/2001
InactiveMidland National Life Insurance Company300923Agent - Life4/26/20043/1/2005
InactiveNational Western Life Insurance Company301515Agent - Health5/22/19981/16/2001
InactiveNational Western Life Insurance Company301515Agent - Life5/22/19981/16/2001
ActiveNationwide Life Insurance Company300495Agent - Health10/31/2023 
ActiveNationwide Life Insurance Company300495Agent - Life10/31/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health10/31/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life10/31/2023 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life4/20/20154/24/2018
InactivePacific Life Insurance Company301848Agent - Health2/12/20137/1/2014
InactivePacific Life Insurance Company301848Agent - Life2/12/20137/1/2014
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities2/12/20137/1/2014
InactivePenn Insurance and Annuity Company300712Agent - Life12/4/201510/17/2018
InactivePenn Mutual Life Insurance Company301394Agent - Life12/4/201510/17/2018
InactivePenn Treaty Network America Insurance Company301297Agent - Health12/15/20007/1/2002
InactivePenn Treaty Network America Insurance Company301297Agent - Life12/15/20007/1/2002
InactiveProtective Life Insurance Company300638Agent - Health4/10/20127/1/2014
InactiveProtective Life Insurance Company300638Agent - Life4/10/20127/1/2014
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/10/20127/1/2014
InactivePruco Life Insurance Company300954Agent - Health9/29/20097/1/2014
ActivePruco Life Insurance Company300954Agent - Life2/24/2017 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/15/2017 
ActivePrudential Insurance Company of America300784Agent - Health2/24/2017 
ActivePrudential Insurance Company of America300784Agent - Life2/24/2017 
ActivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities3/15/2017 
InactiveReassure America Life Insurance Company301902Agent - Health12/27/19991/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life12/27/19991/3/2003
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/20036/28/2005
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/20036/28/2005
InactiveSecurity Benefit Life Insurance Company300583Agent - Life3/1/20127/1/2014
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health3/23/200010/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life3/23/200010/1/2003
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life5/5/201012/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities5/5/201012/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
InactiveSymetra Life Insurance Company301691Agent - Health5/21/199811/26/2001
InactiveSymetra Life Insurance Company301691Agent - Life5/21/199811/26/2001
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/19/200111/23/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/20/200111/23/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities6/22/200111/23/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/21/200111/23/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/21/200111/23/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities6/22/200111/23/2009
InactiveTransamerica Assurance Company300893Agent - Health8/10/19998/18/2003
InactiveTransamerica Assurance Company300893Agent - Life8/10/19998/18/2003
InactiveTransamerica Life Insurance Company300571Agent - Health7/11/20164/12/2017
InactiveTransamerica Life Insurance Company300571Agent - Life7/11/20164/12/2017
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life6/14/199910/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/10/199912/27/2006
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/10/199912/27/2006
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/11/20164/12/2017
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/11/20164/12/2017
InactiveUnion Security Insurance Company301844Agent - Health2/11/200011/22/2002
InactiveUnion Security Insurance Company301844Agent - Life2/11/200011/22/2002
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/12/199810/17/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/12/199810/17/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/29/201512/1/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/29/201512/1/2016
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/29/2015 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/6/2022 
InactiveVenerable Insurance and Annuity Company301006Agent - Health3/15/200112/10/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Life3/15/20018/21/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities5/31/20018/21/2010
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/28/2010
InactiveWest Coast Life Insurance Company301607Agent - Health9/28/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life9/28/200911/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life12/8/200312/4/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSecurities America Inc.400225Agent - Health12/3/20012/17/2003
InactiveSecurities America Inc.400225Agent - Life12/3/20012/17/2003
InactiveSecurities America Inc.400225Agent - Variable Life and Variable Annuities12/3/20012/17/2003

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