DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Kerlyn	DOIID	1402390	NAIC NPN	20243270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/28/2025		7/31/2027
Active	Non Resident	Agent	Property	5/28/2025		7/31/2027
Active	Non Resident	Agent	Life	5/28/2025		7/31/2027
* 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
Active	AAA Life Insurance Company	300287	Agent - Life	6/10/2025
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/9/2025
Active	Bristol West Insurance Company	301655	Agent - Property	7/9/2025
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	6/18/2025
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	6/18/2025
Active	CSAA General Insurance Company	606675	Agent - Casualty	6/18/2025
Active	CSAA General Insurance Company	606675	Agent - Property	6/18/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/9/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/9/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/11/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Property	7/11/2025
Active	Grange Insurance Company	300234	Agent - Casualty	7/11/2025
Active	Grange Insurance Company	300234	Agent - Property	7/11/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	7/11/2025
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	7/11/2025
Active	Trustgard Insurance Company	300104	Agent - Casualty	7/11/2025
Active	Trustgard Insurance Company	300104	Agent - Property	7/11/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	6/18/2025
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Life	6/10/2025
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	6/18/2025