DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goss, Amy L	DOIID	709603	NAIC NPN	3896507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/17/2009		1/31/2027
Active	Non Resident	Agent	Casualty	7/17/2009		1/31/2027
* 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
Active	Essentia Insurance Company	300342	Agent - Casualty	8/27/2009
Active	Essentia Insurance Company	300342	Agent - Property	8/27/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hagerty Ins Agency LLC	541031	Agent - Property	9/2/2009
Active	Hagerty Ins Agency LLC	541031	Agent - Casualty	9/2/2009