DEPARTMENT OF INSURANCE

Affiliations

Name	Mrazek, David Louis	DOIID	1106194	NAIC NPN	18159002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/20/2020	5/31/2025
Active	Non Resident	Agent	Life	10/20/2020	5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	9/26/2022	7/31/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	9/26/2022	7/31/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/5/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	1/5/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	1/5/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/4/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/4/2021
Active	National Guardian Life Insurance Company	300596	Agent - Health	9/21/2021
Active	National Health Insurance Company	300554	Agent - Health	2/9/2023
Active	National Health Insurance Company	300554	Agent - Life	2/9/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/8/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/8/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/2021
Active	Starmount Life Insurance Company	628031	Agent - Health	1/29/2021
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	2/6/2023
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	2/6/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/29/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/29/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/21/2021	7/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/21/2021	7/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/21/2021	7/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/21/2021	7/31/2023
Active	Unum Insurance Company	301499	Agent - Health	1/29/2021
Active	Unum Insurance Company	301499	Agent - Life	1/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Life	2/2/2021
Active	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Health	2/2/2021