DEPARTMENT OF INSURANCE

Affiliations

Name	Gomes, Michael Anthony	DOIID	667170	NAIC NPN	5731610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/29/2007	6/18/2018
Inactive	Non Resident	Agent	Life	10/29/2007	6/18/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/19/2008	6/18/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/19/2008	6/18/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/19/2008	6/18/2018
Inactive	American Continental Insurance Company	643130	Agent - Health	11/12/2010	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	11/12/2010	11/11/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/28/2016	9/7/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/28/2016	9/7/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	1/8/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	1/8/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	4/24/2008	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	4/24/2008	12/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/13/2012	4/7/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/25/2011	6/18/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/25/2011	4/26/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014	6/18/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/13/2012	4/7/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/19/2012	6/18/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/15/2009	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/15/2009	12/26/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/5/2014	6/18/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/5/2014	6/18/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/29/2008	10/8/2012
Inactive	HCC Life Insurance Company	301827	Agent - Life	4/29/2008	10/8/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/4/2014	9/11/2018
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/4/2014	9/11/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/30/2012	4/7/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2012	4/7/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2012	4/7/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/13/2012	4/7/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2012	4/7/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2012	4/7/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/13/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/13/2012	10/22/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/11/2009	2/10/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/11/2009	2/10/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/15/2009	6/18/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/10/2015	5/5/2016
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	12/10/2007	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	12/10/2007	8/22/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/15/2009	6/18/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/15/2009	6/18/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/26/2011	9/16/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/26/2011	9/16/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	9/16/2016
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	9/14/2009	11/1/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	9/14/2009	11/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A.G. Insurance Agencies, LLC	873562	Agent - Health	4/1/2015	6/18/2018
Inactive	A.G. Insurance Agencies, LLC	873562	Agent - Life	4/1/2015	6/18/2018
Inactive	ASD Insurance and Financial Services, LLC	743054	Agent - Health	12/14/2012	6/18/2018
Inactive	ASD Insurance and Financial Services, LLC	743054	Agent - Life	12/14/2012	6/18/2018
Inactive	Centerstone Insurance And Financial Services, LLC	595009	Agent - Health	8/18/2009	6/18/2018
Inactive	Centerstone Insurance And Financial Services, LLC	595009	Agent - Life	8/18/2009	6/18/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	11/2/2016