DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kalisz, Jacqulyn	DOIID	1091799	NAIC NPN	18514415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/31/2020	7/31/2021
Inactive	Non Resident	Agent	Life	7/31/2020	7/31/2021
* 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	8/21/2020	7/31/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/7/2020	7/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/21/2020	7/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/7/2020	7/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/7/2020	7/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	8/21/2020	7/31/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/21/2020	7/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/7/2020	7/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	8/21/2020	9/16/2020
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	8/7/2020	9/16/2020