DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Zelene	DOIID	1017570	NAIC NPN	18168385

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/1/2018	11/30/2021
Inactive	Non Resident	Agent	Casualty	11/1/2018	11/30/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/22/2019	11/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Altamont Insurance Group LLC	1004601	Agent - Property
Denied	Altamont Insurance Group LLC	1004601	Agent - Casualty
Inactive	Altamont Insurance Group LLC	1004601	Surplus Lines Broker - Not Applicable	4/25/2019	5/16/2019