DEPARTMENT OF INSURANCE
Affiliations
NameKozlowski, Donald KennethDOIID1011847NAIC NPN439959
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth5/30/2022 2/28/2025
Pending ReplacementNon ResidentAgentLife5/30/2022 2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health8/8/2022 
InactiveAetna Health and Life Insurance Company300523Agent - Health10/24/201812/15/2020
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health8/8/2022 
Pending ReplacementAetna Life Insurance Company301140Agent - Health8/8/2022 
Pending ReplacementAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/21/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health7/21/202212/19/2024
Pending ReplacementAnthem Insurance Companies, Inc.300941Agent - Health7/21/2022 
InactiveAnthem Life Insurance Company301209Agent - Health2/17/20212/28/2021
InactiveAnthem Life Insurance Company301209Agent - Life2/17/20212/28/2021
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health11/3/20234/7/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/22/20232/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life3/22/20232/3/2025
Pending ReplacementCompcare Health Services Insurance Corporation948751Agent - Health7/21/2022 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/24/201812/15/2020
InactiveGerber Life Insurance Company300529Agent - Health1/17/20192/28/2021
InactiveGerber Life Insurance Company300529Agent - Life1/17/20192/28/2021
InactiveGolden Rule Insurance Company301943Agent - Health8/8/20233/5/2025
InactiveGolden Rule Insurance Company301943Agent - Life8/8/20233/5/2025
InactiveLumico Life Insurance Company300354Agent - Health6/25/202011/24/2020
Pending ReplacementSilverScript Insurance Company663526Agent - Health8/8/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/3/20234/7/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/11/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health11/3/20234/7/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/29/20228/29/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/24/20202/28/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealthMarkets Insurance Agency Inc709727Agent - Health11/16/202212/7/2023
InactiveHealthMarkets Insurance Agency Inc709727Agent - Life11/16/202212/7/2023

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