DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keyser-Gonzalez, Simone Nichole	DOIID	1318687	NAIC NPN	20485029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/11/2024		6/30/2027
Active	Non Resident	Agent	Property	1/11/2024		6/30/2027
* 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	04/15/2025	06/30/2025	06/24/2025	06/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/17/2024
Active	Bristol West Insurance Company	301655	Agent - Property	6/17/2024
Active	Government Employees Insurance Company	300376	Agent - Casualty	1/17/2024
Active	Government Employees Insurance Company	300376	Agent - Property	1/17/2024
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/17/2024
Active	Geico Insurance Agency, LLC	558517	Agent - Property	1/17/2024