DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lyskawa, David	DOIID	1112301	NAIC NPN	19542087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	11/30/2020		6/30/2025
Pending Replacement	Non Resident	Agent	Health	11/30/2020		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Freedom Life Insurance Company of America	300074	Agent - Health	4/25/2025
Pending Replacement	Freedom Life Insurance Company of America	300074	Agent - Life	4/25/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Ushealth Advisors Llc	713288	Agent - Life	4/25/2025
Pending Replacement	Ushealth Advisors Llc	713288	Agent - Health	4/25/2025