DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Reynolds-Gomez, Holly	DOIID	860927	NAIC NPN	17048656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/17/2020	6/30/2024
Inactive	Non Resident	Agent	Life	6/7/2022	6/30/2024
* 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	10/23/2020	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/23/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/23/2020	7/9/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/26/2015	6/30/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/26/2015	6/30/2016
Inactive	EMC National Life Company	300388	Agent - Health	9/14/2022	9/7/2023
Inactive	EMC National Life Company	300388	Agent - Life	9/14/2022	9/7/2023
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	2/17/2015	6/30/2016
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	2/17/2015	6/30/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/23/2020	7/9/2021
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/16/2015	6/30/2016
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/16/2015	6/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	9/23/2022	9/7/2023
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	9/23/2022	9/7/2023