DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzales, Evah Del Bosque	DOIID	1094246	NAIC NPN	1324297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/18/2020	12/31/2022
Inactive	Non Resident	Agent	Health	8/18/2020	12/31/2022
Active	Non Resident	Independent Adjuster	Property & Casualty	4/29/2024		12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/19/2020	3/22/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/19/2020	3/22/2021
Inactive	Tier One Insurance Company	301056	Agent - Health	12/27/2022	12/31/2022
Inactive	Tier One Insurance Company	301056	Agent - Life	12/27/2022	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	8/19/2020	3/22/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	8/19/2020	3/22/2021