DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez-Tejada, Josue Omar	DOIID	872029	NAIC NPN	17524388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/29/2024		8/31/2026
Active	Non Resident	Agent	Property	5/29/2024		8/31/2026
* 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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/7/2015	1/11/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	12/7/2015	1/11/2017
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	3/25/2015	10/29/2015
Inactive	Safe Auto Insurance Company	300419	Agent - Property	3/25/2015	10/29/2015

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 - Property	12/16/2015	1/11/2017
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	12/16/2015	1/11/2017
Inactive	Safe Auto Group Agency Inc	557065	Agent - Property	5/29/2015	10/29/2015
Inactive	Safe Auto Group Agency Inc	557065	Agent - Casualty	5/29/2015	10/29/2015