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	Property	1/11/2024		6/30/2027
Active	Non Resident	Agent	Casualty	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.

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	GEICO Casualty Company	301178	Agent - Casualty	8/5/2025
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