DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Angelique	DOIID	816782	NAIC NPN	17014364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/3/2023	5/31/2026
Active	Non Resident	Agent	Health	8/12/2022	5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/31/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/31/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/29/2017	5/31/2018
Active	American General Life Insurance Company	301585	Agent - Health	4/24/2023
Active	American General Life Insurance Company	301585	Agent - Life	4/24/2023
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	5/25/2023	2/4/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/11/2024	12/12/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/29/2022	5/2/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/11/2024	12/12/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2017	6/4/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2017	6/4/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	5/15/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/25/2017	5/31/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/25/2017	5/31/2018
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/11/2024	12/12/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/31/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2017	5/15/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/11/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/2/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/29/2017	5/31/2018
Inactive	Great Western Insurance Company	501693	Agent - Life	4/24/2023	9/18/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/7/2017	5/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2018	5/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/17/2018	5/15/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	9/5/2013	5/17/2017
Active	SilverScript Insurance Company	663526	Agent - Health	8/18/2022
Active	Tier One Insurance Company	301056	Agent - Health	8/15/2025
Active	Tier One Insurance Company	301056	Agent - Life	8/15/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/5/2013	10/22/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/24/2017	5/15/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/24/2017	5/15/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/24/2017	5/15/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/22/2022	3/1/2024

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	9/1/2017	6/3/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/1/2017	6/3/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/15/2016	5/17/2017