DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gosse, Kenneth Lee	DOIID	740807	NAIC NPN	8799711

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/22/2010	2/29/2012
Inactive	Non Resident	Agent	Health	10/22/2010	2/29/2012
* 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	Balboa Life Insurance Company	301327	Agent - Health	10/29/2010	3/26/2012
Inactive	Balboa Life Insurance Company	301327	Agent - Life	10/29/2010	3/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Health	12/10/2010	4/27/2011
Inactive	Balboa Insurance Services Inc.	516610	Agent - Life	12/10/2010	4/27/2011