DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sempowich, Tracy	DOIID	1170125	NAIC NPN	3551297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	11/2/2021		9/30/2024
Pending Replacement	Non Resident	Agent	Life	11/2/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/8/2021	4/1/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/8/2021	4/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/8/2021	4/1/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/8/2021	4/1/2022