DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosas Suazo, Xavier	DOIID	1046952	NAIC NPN	19215860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/7/2024		7/31/2025
Active	Non Resident	Agent	Life	2/7/2024		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/14/2024	10/12/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/14/2024	10/12/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Health	7/17/2019	9/17/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/4/2024	11/5/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	2/8/2024	10/7/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	2/12/2024	11/5/2024
Inactive	Sutherland Global Services Inc	601788	Agent - Health	2/14/2024	10/12/2024