DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kowalenko, Randall W	DOIID	1247035	NAIC NPN	17339095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	12/14/2022		5/31/2024
Pending Replacement	Non Resident	Agent	Life	12/14/2022		5/31/2024
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	12/19/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/19/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	12/19/2022
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	12/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024