DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Angelique	DOIID	816782	NAIC NPN	17014364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	8/12/2022	5/31/2026
Pending Replacement	Non Resident	Agent	Life	4/3/2023	5/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	3/31/2023	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	5/30/2026
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2022	1/23/2026
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/31/2023	12/19/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2022	1/23/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/18/2022	1/23/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/29/2017	5/31/2018
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	4/24/2023
Pending Replacement	American General Life Insurance Company	301585	Agent - Life	4/24/2023
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	5/25/2023	2/4/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/28/2025	2/25/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/29/2022	5/2/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/28/2025	2/25/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2017	6/4/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2017	6/4/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	5/15/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/25/2017	5/31/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/25/2017	5/31/2018
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/28/2025	2/25/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/31/2023	12/19/2025
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/30/2026
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2017	5/15/2018
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/11/2025
Pending Replacement	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/2/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/29/2017	5/31/2018
Inactive	Great Western Insurance Company	501693	Agent - Life	4/24/2023	9/18/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/7/2017	5/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2018	5/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/17/2018	5/15/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	9/5/2013	5/17/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/18/2022	1/23/2026
Pending Replacement	Tier One Insurance Company	301056	Agent - Health	8/15/2025
Pending Replacement	Tier One Insurance Company	301056	Agent - Life	8/15/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/5/2013	10/22/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/24/2017	5/15/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/24/2017	5/15/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/24/2017	5/15/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/22/2022	3/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/1/2017	6/3/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/1/2017	6/3/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/15/2016	5/17/2017