DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzales-Ortiz, Bertha	DOIID	1001418	NAIC NPN	6746609

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/7/2023	4/30/2024
Inactive	Non Resident	Agent	Health	6/7/2023	4/30/2024
Inactive	Non Resident	Agent	Casualty	7/18/2018	4/30/2024
Inactive	Non Resident	Agent	Property	7/18/2018	4/30/2024
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/16/2023	11/30/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/16/2023	11/30/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/21/2020	3/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/21/2020	3/13/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/29/2018	3/13/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/29/2018	3/13/2023
Inactive	Homesite Insurance Company	301139	Agent - Casualty	7/20/2018	1/4/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	7/20/2018	1/4/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/20/2018	1/4/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/20/2018	1/4/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	6/21/2023	11/14/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	6/21/2023	11/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	6/16/2023	11/30/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Health	6/16/2023	11/30/2023