DEPARTMENT OF INSURANCE

Affiliations

Name	Kozlowski, Donald Kenneth	DOIID	1011847	NAIC NPN	439959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/30/2022	2/28/2025
Active	Non Resident	Agent	Life	5/30/2022	2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/24/2018	12/15/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/8/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/8/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/21/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/21/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/21/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/17/2021	2/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/17/2021	2/28/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/3/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/22/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/22/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/21/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/24/2018	12/15/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/17/2019	2/28/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/17/2019	2/28/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	8/8/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	8/8/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/25/2020	11/24/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/8/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/3/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/11/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/3/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/29/2022	8/29/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/24/2020	2/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/16/2022	12/7/2023
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/16/2022	12/7/2023