DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

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