DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez, Elizabeth	DOIID	700733	NAIC NPN	1267920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/1/2016	8/31/2019
Inactive	Non Resident	Agent	Personal Lines	3/2/2009	8/31/2011
Inactive	Non Resident	Agent	Health	12/1/2016	8/31/2019
* 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	Nationwide Life Insurance Company	300495	Agent - Life	7/13/2009	11/24/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/13/2009	11/24/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	3/17/2009	11/4/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/21/2016	8/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/21/2016	8/31/2019
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/17/2017	8/31/2019
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/17/2017	8/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/21/2016	8/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/21/2016	8/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	3/25/2009	11/4/2009
Inactive	Optavise, LLC	671337	Agent - Life	8/17/2018	8/31/2019
Inactive	Optavise, LLC	671337	Agent - Health	8/17/2018	8/31/2019