DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fukuda, Chizu	DOIID	1169343	NAIC NPN	20112819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/28/2021		4/30/2026
Active	Non Resident	Agent	Casualty	10/28/2021		4/30/2026
* 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	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	11/8/2021
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	11/8/2021
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	11/8/2021
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	11/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Loyalty Group Insurance Services, Inc.	714894	Agent - Casualty	11/10/2021
Active	Loyalty Group Insurance Services, Inc.	714894	Agent - Property	11/10/2021