DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kitzi, Gavin Nicholas	DOIID	1198150	NAIC NPN	20261398

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/8/2022		10/31/2024
Active	Non Resident	Agent	Life	4/8/2022		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/20/2022	2/6/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/20/2022	2/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/20/2022	2/6/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/20/2022	2/6/2023