DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Anthony Jay	DOIID	1246332	NAIC NPN	17039790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	12/10/2022		5/31/2025
Active	Non Resident	Agent	Life	12/10/2022		5/31/2025
Active	Non Resident	Agent	Health	12/10/2022		5/31/2025
* 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	AMEX Assurance Company	301728	Agent - Health	12/19/2022	5/3/2023
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	12/19/2022	5/3/2023
Active	American General Life Insurance Company	301585	Agent - Health	12/28/2023
Active	American General Life Insurance Company	301585	Agent - Life	12/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	12/19/2022	5/3/2023