DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sivak, Rebecca L	DOIID	1049104	NAIC NPN	12408254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/20/2020		9/30/2025
Active	Non Resident	Agent	Life	7/29/2019		9/30/2025
Active	Non Resident	Agent	Property	7/29/2019		9/30/2025
Active	Non Resident	Agent	Casualty	7/29/2019		9/30/2025
Active	Non Resident	Agent	Health	7/29/2019		9/30/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/20/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/20/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/29/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/29/2019
Active	SilverScript Insurance Company	663526	Agent - Health	9/20/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	10/24/2023
Active	United States Fire Insurance Company	582240	Agent - Health	10/24/2023
Active	United States Fire Insurance Company	582240	Agent - Property	10/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Co-Ordinated Benefit Plans Llc	397781	Administrator - Not Applicable	1/23/2020	9/24/2020