DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Czarnecki, Cheryl	DOIID	1047257	NAIC NPN	8121239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/30/2019	10/1/2022
Inactive	Resident	Agent	Life	7/30/2019	10/1/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/31/2019	10/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/31/2019	10/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/31/2019	10/1/2022

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	8/30/2019	1/19/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	1/19/2021
Inactive	Pike & Preston, LLC	544898	Agent - Life	3/3/2020	1/14/2021
Inactive	Pike & Preston, LLC	544898	Agent - Health	3/3/2020	1/14/2021