DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mendoza, Jose	DOIID	1344026	NAIC NPN	19220800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/6/2024		11/30/2027
Active	Non Resident	Agent	Property	6/6/2024		11/30/2027
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	7/11/2024
Active	American Modern Home Insurance Company	300791	Agent - Property	7/11/2024
Active	Root Insurance Company	964834	Agent - Casualty	7/25/2024
Active	Root Insurance Company	964834	Agent - Property	7/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Goosehead Insurance Agency, Llc	971836	Agent - Casualty	3/3/2026
Active	Goosehead Insurance Agency, Llc	971836	Agent - Property	3/3/2026