DEPARTMENT OF INSURANCE

Affiliations

Name	Duczak, George Victor	DOIID	315777	NAIC NPN	952346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/10/1999	8/31/2015
Inactive	Non Resident	Agent	Life	11/10/1999	8/31/2015
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/11/2011	8/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/11/2011	8/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/11/2011	8/31/2015
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/25/2006	7/30/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/25/2006	7/30/2010
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/19/2002	2/16/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/19/2002	2/16/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/18/2011	12/10/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/18/2011	11/28/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/18/2011	11/28/2011
Inactive	Companion Life Insurance Company	300191	Agent - Health	5/21/2007	8/31/2015
Inactive	Companion Life Insurance Company	300191	Agent - Life	5/21/2007	8/31/2015
Inactive	HM Life Insurance Company	301408	Agent - Health	7/21/2006	11/21/2011
Inactive	HM Life Insurance Company	301408	Agent - Life	7/21/2006	11/21/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2011	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/18/2011	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/18/2011	12/10/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/18/2011	12/10/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/18/2011	12/10/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/18/2011	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/18/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/18/2011	12/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/18/2011	12/10/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/11/2006	5/18/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/11/2006	5/18/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	9/9/2011	8/31/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/9/2011	8/31/2015
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	2/4/2010	8/31/2015
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	2/4/2010	8/31/2015
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/26/2006	11/30/2010
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/26/2006	11/30/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/10/2006	9/25/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/10/2006	9/25/2009
Inactive	Transamerica Assurance Company	300893	Agent - Health	3/11/2002	8/20/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	3/11/2002	8/20/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/11/2002	8/20/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/11/2002	8/20/2003
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	5/19/2003	1/13/2005
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	5/19/2003	1/13/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Westbrook Ins Services LLC	712641	Agent - Life	9/17/2012	10/20/2014
Inactive	American Westbrook Ins Services LLC	712641	Agent - Health	9/17/2012	10/20/2014