DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mazejka, Monique	DOIID	1023934	NAIC NPN	16398833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/31/2018	5/31/2021
Inactive	Non Resident	Agent	Health	12/31/2018	5/31/2021
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	5/31/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2019	5/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020	5/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2019	5/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/14/2019	5/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/14/2019	5/1/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/11/2019	5/31/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/11/2019	5/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/25/2019	6/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/25/2019	6/2/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	2/14/2019	5/31/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	2/14/2019	5/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/8/2019	5/31/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019	5/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	5/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/14/2019	5/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/14/2019	5/1/2019
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/28/2019	5/31/2021
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/28/2019	5/31/2021