DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phillips, Kaizer Artifa	DOIID	1110192	NAIC NPN	19446636

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/11/2020	10/31/2022
Inactive	Non Resident	Agent	Health	11/11/2020	10/31/2022
Inactive	Non Resident	Agent	Personal Lines	11/11/2020	10/31/2022
* 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
Inactive	AMEX Assurance Company	301728	Agent - Health	12/8/2020	3/23/2021
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	12/8/2020	3/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	12/8/2020	3/1/2021