DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Charles	DOIID	837876	NAIC NPN	17236056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/13/2018	11/30/2025
Active	Non Resident	Agent	Personal Lines	4/8/2014	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Indemnity Company	300778	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	Allstate Insurance Company	300773	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Personal Lines	2/9/2021	8/31/2023
Inactive	American Economy Insurance Company	300315	Agent - Personal Lines	4/29/2020	4/15/2022
Inactive	American Strategic Insurance Corp	883540	Agent - Personal Lines	6/24/2020	10/5/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/15/2018	8/20/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	8/20/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2018	8/20/2020
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	5/5/2020	9/14/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/5/2020	9/14/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2018	8/20/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Insurance Company	301104	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/15/2018	8/20/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/15/2018	8/20/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	4/15/2014	5/9/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Personal Lines	4/29/2020	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	4/29/2020	4/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Personal Lines	5/14/2020	10/5/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	5/11/2020
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	4/15/2014	5/9/2018