DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Charles	DOIID	837876	NAIC NPN	17236056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/13/2018	11/30/2025
Active	Non Resident	Agent	Personal Lines	4/8/2014	11/30/2025
* 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	Allstate Indemnity Company	300778	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	Allstate Insurance Company	300773	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	American Economy Insurance Company	300315	Agent - Personal Lines	4/29/2020	4/15/2022
Inactive	American Strategic Insurance Corp	883540	Agent - Personal Lines	6/24/2020	10/5/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/15/2018	8/20/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	8/20/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2018	8/20/2020
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	5/5/2020	9/14/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/5/2020	9/14/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2018	8/20/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Insurance Company	301104	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/15/2018	8/20/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	4/15/2014	5/9/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Personal Lines	4/29/2020	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	4/29/2020	4/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Personal Lines	5/14/2020	10/5/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	5/11/2020
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	4/15/2014	5/9/2018