DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Izquierdo, Gustavo	DOIID	996310	NAIC NPN	18800355

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	6/1/2018		9/30/2025
Active	Non Resident	Agent	Health	4/22/2020		9/30/2025
Active	Non Resident	Agent	Life	4/22/2020		9/30/2025
* 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	AMEX Assurance Company	301728	Agent - Health	5/14/2020
Active	AMEX Assurance Company	301728	Agent - Personal Lines	5/14/2020

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
Active	Assurant Insurance Agency, Inc	559398	Agent - Health	5/14/2020