DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gause, Antonio	DOIID	965746	NAIC NPN	18521642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/30/2017	5/31/2020
Inactive	Non Resident	Agent	Life	8/30/2017	5/31/2020
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/28/2017	5/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/28/2017	5/31/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/8/2018	5/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Health	8/22/2018	3/1/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	8/22/2018	3/1/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/3/2017	5/31/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/4/2018	5/31/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/4/2018	5/31/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/4/2018	5/31/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/4/2018	5/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/31/2017	4/25/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/31/2017	4/25/2018
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019	5/31/2020
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019	5/31/2020