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DEPARTMENT OF INSURANCE
Affiliations
Name
Goss Jr, Melvin Adolf
DOIID
393428
NAIC NPN
1889226
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
7/24/2014
6/30/2026
Active
Resident
Agent
Variable Life and Variable Annuities
7/24/2014
6/30/2026
Active
Resident
Agent
Health
7/24/2014
6/30/2026
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
3/24/2016
12/13/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/24/2016
12/13/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/24/2016
12/13/2021
Inactive
Ameribest Life Insurance Company
301390
Agent - Life
7/17/2000
12/31/2002
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
5/24/1999
7/18/2003
Inactive
American General Life Insurance Company
301585
Agent - Health
12/31/2012
7/1/2014
Active
American General Life Insurance Company
301585
Agent - Life
7/25/2014
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
7/25/2014
Inactive
American General Life and Accident Insurance Company
301362
Agent - Health
6/9/2003
12/31/2012
Inactive
American General Life and Accident Insurance Company
301362
Agent - Life
6/9/2003
12/31/2012
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
4/17/2002
1/18/2005
Inactive
American National Insurance Company
301861
Agent - Life
6/14/1999
7/1/2014
Inactive
American States Life Insurance Company
301884
Agent - Health
11/1/1998
11/26/2001
Inactive
American States Life Insurance Company
301884
Agent - Life
11/1/1998
11/26/2001
Inactive
Americom Life & Annuity Insurance Company
301843
Agent - Health
10/2/2003
9/30/2007
Inactive
Americom Life & Annuity Insurance Company
301843
Agent - Life
10/2/2003
4/18/2006
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
7/3/2000
3/23/2012
Inactive
Athene Annuity and Life Company
301893
Agent - Life
9/16/2016
12/3/2021
Inactive
Augustar Life Assurance Corporation
301113
Agent - Health
11/7/1997
2/11/2002
Inactive
Augustar Life Assurance Corporation
301113
Agent - Life
11/7/1997
2/11/2002
Inactive
Augustar Life Insurance Company
301816
Agent - Health
10/20/1997
2/11/2002
Inactive
Augustar Life Insurance Company
301816
Agent - Life
3/25/2002
3/10/2007
Inactive
Augustar Life Insurance Company
301816
Agent - Variable Life and Variable Annuities
3/25/2002
3/10/2007
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
5/21/2002
4/26/2004
Inactive
Conseco Insurance Company
301202
Agent - Life
6/10/1998
10/1/2010
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
12/15/2015
3/9/2021
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Health
3/15/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
3/15/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
4/9/2001
1/1/2004
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Health
9/30/2007
7/28/2008
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
5/23/2002
7/28/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Health
8/17/2004
12/20/2006
Inactive
First Colony Life Insurance Company
301179
Agent - Life
8/17/2004
12/20/2006
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/1/1998
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/1/1998
12/23/2008
Inactive
Forethought Life Insurance Company
301407
Agent - Health
10/28/2015
5/29/2020
Inactive
Forethought Life Insurance Company
301407
Agent - Life
10/28/2015
5/29/2020
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
1/18/2018
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/15/2020
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
9/26/2009
1/7/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
2/25/2015
12/14/2016
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
3/14/2003
9/29/2011
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
3/14/2003
9/29/2011
Inactive
IL Annuity and Insurance Company
300772
Agent - Life
6/14/1999
6/30/2003
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
6/30/2003
3/21/2005
Inactive
Integrity Life Insurance Company
301687
Agent - Life
3/21/2002
12/10/2002
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
3/21/2002
12/10/2002
Active
Jackson National Life Insurance Company
300486
Agent - Life
11/6/2014
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
11/6/2014
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
3/28/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
3/28/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
5/31/2001
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
3/6/2000
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
3/6/2000
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
5/31/2001
4/2/2007
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
4/21/2009
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
4/21/2009
4/2/2013
Inactive
LifeSecure Insurance Company
301629
Agent - Health
6/11/1999
7/16/2001
Inactive
LifeSecure Insurance Company
301629
Agent - Life
6/11/1999
7/16/2001
Inactive
LifeUSA Insurance Company
300386
Agent - Health
4/6/1999
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
4/6/1999
8/2/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/24/2014
10/12/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/24/2014
10/12/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/24/2014
10/12/2018
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
8/31/2015
5/2/2016
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
5/9/2011
7/1/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
5/9/2011
7/1/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
5/9/2011
7/1/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
5/9/2011
7/1/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
5/9/2011
7/1/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
5/9/2011
7/1/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
5/11/2011
7/1/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
5/11/2011
7/1/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
5/11/2011
7/1/2014
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
8/17/1999
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
8/17/1999
3/31/2001
Inactive
Midland National Life Insurance Company
300923
Agent - Life
4/26/2004
3/1/2005
Inactive
National Western Life Insurance Company
301515
Agent - Health
5/22/1998
1/16/2001
Inactive
National Western Life Insurance Company
301515
Agent - Life
5/22/1998
1/16/2001
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
10/31/2023
12/18/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
10/31/2023
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
10/31/2023
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/31/2023
12/18/2024
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
4/20/2015
4/24/2018
Inactive
Pacific Life Insurance Company
301848
Agent - Health
2/12/2013
7/1/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Life
2/12/2013
7/1/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
2/12/2013
7/1/2014
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
12/4/2015
10/17/2018
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
12/4/2015
10/17/2018
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
12/15/2000
7/1/2002
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
12/15/2000
7/1/2002
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/10/2012
7/1/2014
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/10/2012
7/1/2014
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
4/10/2012
7/1/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Health
9/29/2009
7/1/2014
Active
Pruco Life Insurance Company
300954
Agent - Life
2/24/2017
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
3/15/2017
Active
Prudential Insurance Company of America
300784
Agent - Health
2/24/2017
Active
Prudential Insurance Company of America
300784
Agent - Life
2/24/2017
Active
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
3/15/2017
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
12/27/1999
1/3/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
12/27/1999
1/3/2003
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
6/28/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
6/28/2005
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
3/1/2012
7/1/2014
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
3/23/2000
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
3/23/2000
10/1/2003
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
5/5/2010
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
5/5/2010
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
12/31/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Variable Life and Variable Annuities
12/31/2012
12/31/2012
Inactive
Symetra Life Insurance Company
301691
Agent - Health
5/21/1998
11/26/2001
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/21/1998
11/26/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/19/2001
11/23/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/20/2001
11/23/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
6/22/2001
11/23/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/21/2001
11/23/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/21/2001
11/23/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
6/22/2001
11/23/2009
Inactive
Transamerica Assurance Company
300893
Agent - Health
8/10/1999
8/18/2003
Inactive
Transamerica Assurance Company
300893
Agent - Life
8/10/1999
8/18/2003
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
7/11/2016
4/12/2017
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
7/11/2016
4/12/2017
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
6/14/1999
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
8/10/1999
12/27/2006
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
8/10/1999
12/27/2006
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
7/11/2016
4/12/2017
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
7/11/2016
4/12/2017
Inactive
Union Security Insurance Company
301844
Agent - Health
2/11/2000
11/22/2002
Inactive
Union Security Insurance Company
301844
Agent - Life
2/11/2000
11/22/2002
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/12/1998
10/17/2005
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
11/12/1998
10/17/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/29/2015
12/1/2016
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
4/29/2015
12/1/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
4/29/2015
12/17/2024
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
4/6/2022
12/17/2024
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
3/15/2001
12/10/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
3/15/2001
8/21/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
5/31/2001
8/21/2010
Inactive
Washington National Insurance Company
300587
Agent - Life
10/1/2010
12/28/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Health
9/28/2009
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
9/28/2009
11/16/2011
Inactive
Western National Life Insurance Company
300461
Agent - Life
12/8/2003
12/4/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
LPL Enterprise, LLC
1333130
Agent - Health
11/25/2024
Active
LPL Enterprise, LLC
1333130
Agent - Life
11/25/2024
Active
LPL Enterprise, LLC
1333130
Agent - Variable Life and Variable Annuities
11/25/2024
Inactive
Securities America Inc.
400225
Agent - Health
12/3/2001
2/17/2003
Inactive
Securities America Inc.
400225
Agent - Life
12/3/2001
2/17/2003
Inactive
Securities America Inc.
400225
Agent - Variable Life and Variable Annuities
12/3/2001
2/17/2003
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