DEPARTMENT OF INSURANCE
Affiliations
NameGonzales, Mahalet DOIID1223617NAIC NPN20384532
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/16/2022 11/30/2024
ActiveNon ResidentAgentHealth8/16/2022 11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health10/4/20225/5/2023
InactiveAccendo Insurance Company300312Agent - Life10/4/20225/5/2023
InactiveAetna Health and Life Insurance Company300523Agent - Health10/4/20225/5/2023
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/4/20225/8/2023
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/4/20225/8/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/4/20225/8/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/4/20225/8/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/4/20225/5/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life10/4/20225/5/2023
InactiveTier One Insurance Company301056Agent - Health10/24/20221/9/2023
InactiveTier One Insurance Company301056Agent - Life9/23/20221/9/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTZ Insurance Solutions LLC727470Agent - Life10/14/202212/5/2022
InactiveTZ Insurance Solutions LLC727470Agent - Health10/14/202212/5/2022

© Commonwealth of Kentucky. All rights reserved.