DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Czaja, Dominika	DOIID	1097143	NAIC NPN	15795754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/9/2020		10/31/2025
Active	Non Resident	Agent	Life	9/9/2020		10/31/2025
* 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	USAA Life Insurance Company	300734	Agent - Health	9/11/2020
Active	USAA Life Insurance Company	300734	Agent - Life	9/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	USAA Life General Agency Inc	399318	Agent - Life	6/7/2022
Active	USAA Life General Agency Inc	399318	Agent - Health	6/7/2022