DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kusiak, Walter K	DOIID	320558	NAIC NPN	2476304

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Resident	Agent	Health	11/2/2006		4/30/2025
Pending Replacement	Resident	Agent	Life	11/2/2006		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/28/2012	5/3/2021
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/28/2012	5/3/2021
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/1/2013	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/1/2013	8/9/2018
Pending Replacement	Transamerica Life Insurance Company	300571	Agent - Health	1/27/2014
Pending Replacement	Transamerica Life Insurance Company	300571	Agent - Life	1/27/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/27/2014	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/27/2014	5/24/2017
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/17/2012	7/28/2019
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/17/2012	7/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Benefits Simplified, LLC	578256	Agent - Life	6/30/2021
Pending Replacement	Benefits Simplified, LLC	578256	Agent - Health	5/1/2023
Pending Replacement	Star Robbins & Company	395837	Agent - Life	6/30/2021
Pending Replacement	Star Robbins & Company	395837	Agent - Health	3/14/2007