DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mousso, Gregory Michael	DOIID	1025479	NAIC NPN	16220270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/15/2019		7/31/2027
Active	Non Resident	Agent	Life	1/15/2019		7/31/2027
* 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
Inactive	All Savers Insurance Company	301940	Agent - Health	6/19/2025	10/9/2026
Inactive	All Savers Insurance Company	301940	Agent - Life	6/19/2025	10/9/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025	10/12/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/6/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/6/2019	4/15/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/19/2025	10/9/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/19/2025	10/9/2026
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/19/2025	10/9/2026
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/19/2025	10/9/2026

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 - Life	2/6/2019	4/15/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/6/2019	3/13/2026
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	2/6/2019	4/15/2025
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	2/6/2019	10/9/2026