DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Jose	DOIID	997037	NAIC NPN	18069129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/7/2018	3/31/2023
* 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	Accendo Insurance Company	300312	Agent - Health	2/11/2022	3/15/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/23/2019	7/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/11/2022	3/15/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/15/2020	7/8/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/23/2019	7/8/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/18/2019	11/20/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	11/20/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	11/20/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/18/2019	3/31/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/21/2019	10/29/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	11/20/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/11/2022	3/15/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/20/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/20/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/7/2019	10/29/2020
Inactive	Independence American Insurance Company	524747	Agent - Health	9/22/2020	12/21/2021
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	9/22/2020	3/31/2023
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/5/2018	12/29/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/7/2018	2/20/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	6/7/2018	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/8/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	6/7/2018	2/20/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/7/2018	2/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	4/18/2019