DEPARTMENT OF INSURANCE

Affiliations

Name	Gossett, Dejuan	DOIID	687117	NAIC NPN	9255656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/11/2019	9/30/2024
Active	Non Resident	Agent	Life	7/11/2019	9/30/2024
Active	Non Resident	Agent	Property	7/11/2019	9/30/2024
Active	Non Resident	Agent	Health	7/11/2019	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2017	5/18/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/27/2017	5/18/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/27/2017	5/18/2019
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/17/2017	6/12/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	10/17/2017	6/12/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	6/12/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/27/2017	5/18/2019
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Farmington Casualty Company	301137	Agent - Property	10/17/2017	6/12/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	10/22/2008	9/30/2010
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/17/2017	6/12/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/17/2017	6/12/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/17/2017	6/12/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/17/2017	6/12/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/17/2017	6/12/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/17/2017	6/12/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/17/2017	6/12/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/11/2017	1/23/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	1/11/2017	1/23/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/11/2017	1/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Casualty
Denied	USI Insurance Services National, Inc	509421	Agent - Property
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/11/2017	6/12/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Life	9/27/2017	5/18/2019