DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Rose Nolen	DOIID	600157	NAIC NPN	8327052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/26/2005	1/31/2014
Inactive	Non Resident	Agent	Life	7/26/2005	1/31/2014
Inactive	Non Resident	Agent	Casualty	12/20/2004	1/31/2014
Inactive	Non Resident	Agent	Property	12/20/2004	1/31/2014
* 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	Bankers Fidelity Assurance Company	554627	Agent - Health	8/9/2005	3/31/2009
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	8/9/2005	3/31/2009
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Casualty	1/19/2005	3/31/2012
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Property	1/19/2005	3/31/2012
Inactive	Direct General Life Insurance Company	301045	Agent - Health	8/9/2005	3/31/2013
Inactive	Direct General Life Insurance Company	301045	Agent - Life	8/9/2005	3/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Right Choice Ins Agency Inc	620070	Agent - Property	5/11/2010	3/31/2012
Inactive	Right Choice Ins Agency Inc	620070	Agent - Casualty	5/11/2010	3/31/2012
Inactive	Right Choice Ins Agency Inc	620070	Agent - Life	5/11/2010	3/31/2013
Inactive	Right Choice Ins Agency Inc	620070	Agent - Health	5/11/2010	7/17/2012