DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wieczorek, Maria A	DOIID	1343835	NAIC NPN	1425339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	6/5/2024		4/30/2026
* 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	02/15/2026	04/30/2026

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	6/11/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/11/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	6/11/2024
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/5/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/12/2024	2/5/2025
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/23/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/18/2024	5/4/2026
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/16/2025
Inactive	Reserve National Insurance Company	301073	Agent - Health	11/12/2025	3/19/2026
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	6/11/2024
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	6/5/2024
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/5/2024
Pending Replacement	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	HealthMarkets Insurance Agency Inc	709727	Agent - Health	6/12/2024