DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Mine L	DOIID	981062	NAIC NPN	5728405

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/10/2018	7/31/2022
Inactive	Non Resident	Agent	Casualty	1/10/2018	7/31/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Chubb Insurance Solutions Agency Inc.	505858	Agent - Property
Denied	Chubb Insurance Solutions Agency Inc.	505858	Agent - Casualty