DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Anthony Jay	DOIID	1246332	NAIC NPN	17039790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/10/2022		5/31/2025
Active	Non Resident	Agent	Health	12/10/2022		5/31/2025
Active	Non Resident	Agent	Personal Lines	12/10/2022		5/31/2025
* 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
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Health	12/19/2022	5/3/2023
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	12/19/2022	5/3/2023
Active	American General Life Insurance Company	301585	Agent - Health	12/28/2023
Active	American General Life Insurance Company	301585	Agent - Life	12/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	12/19/2022	5/3/2023