DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Idemitsu-Weiss, Kazuko	DOIID	500966	NAIC NPN	2265309

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/20/1999	9/30/2017
Inactive	Non Resident	Agent	Life	12/20/1999	9/30/2017
* 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	Connecticut General Life Insurance Company	301333	Agent - Health	12/20/1999	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	12/20/1999	6/11/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/1/2011	9/30/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/1/2011	9/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/1/2011	9/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/1/2011	9/30/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/9/2015	10/29/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/9/2015	10/29/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh JCS, Inc.	399334	Agent - Life	7/1/2011	9/30/2017
Inactive	Marsh JCS, Inc.	399334	Agent - Health	7/1/2011	9/30/2017