DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Employee Benefit/Risk Management Services LLC	DOIID	1184425	NAIC NPN	20199317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/24/2022		3/31/2026
Active	Non Resident	Agent	Life	1/24/2022		3/31/2026
Active	Non Resident	Agent	Property	1/24/2022		3/31/2026
Active	Non Resident	Agent	Health	1/24/2022		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	1/24/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	1/24/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	1/24/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	1/24/2022
Active	Kubik, Jeffery J	321007	Agent - Health	6/24/2022
Active	Kubik, Jeffery J	321007	Agent - Life	6/24/2022