DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cudzilo, Marissa Anne	DOIID	1018780	NAIC NPN	18289556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/12/2018		6/30/2026
Active	Non Resident	Agent	Life	11/12/2018		6/30/2026
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	3/26/2019
Active	Freedom Life Insurance Company of America	300074	Agent - Life	3/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Health	3/26/2019
Active	Ushealth Advisors Llc	713288	Agent - Life	3/26/2019