DEPARTMENT OF INSURANCE
Affiliations
NameKozak, Igor NDOIID1097674NAIC NPN19250313
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/11/202012/31/2022 
InactiveNon ResidentAgentLife9/11/202012/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/22/202012/29/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/22/202012/29/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/22/202012/29/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/22/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePaychex Insurance Agency Inc509469Agent - Life9/29/202011/22/2021
InactivePaychex Insurance Agency Inc509469Agent - Health9/29/202011/22/2021

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