DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Bonnie M	DOIID	913932	NAIC NPN	17821523

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/28/2016	6/30/2018
Inactive	Non Resident	Agent	Casualty	4/28/2016	6/30/2018
* 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	Old Republic Insurance Company	301225	Agent - Casualty	2/8/2018	7/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	EXP Insurance Agency, Inc.	586510	Agent - Property
Denied	EXP Insurance Agency, Inc.	586510	Agent - Casualty