DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kuzuoka, Gina	DOIID	334757	NAIC NPN	7184079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	4/12/2018	7/31/2019
Inactive	Resident	Agent	Credit Life & Health	8/4/1986	8/7/2000
* 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	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	4/19/2018	8/8/2019
Inactive	First Alliance Insurance Company	301000	Agent - Credit Life & Health	5/20/1999	8/7/2000
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	8/22/2001
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	8/4/1986	5/5/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Churchill Insurance Agency Inc.	400358	Agent - Credit Life & Health	1/8/1987	5/9/1997