DEPARTMENT OF INSURANCE
Affiliations
NameKozma, Jennie KDOIID324471NAIC NPN2255896
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/200112/16/2014 
InactiveNon ResidentAgentHealth4/8/199312/16/2014 
InactiveNon ResidentAgentLife4/8/199312/16/2014 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana Insurance Company301104Agent - Health9/7/20128/20/2014
InactiveHumana Insurance Company301104Agent - Life9/7/20128/20/2014
InactiveMutual of Omaha Insurance Company301012Agent - Health12/23/19975/12/2003
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health4/30/20013/23/2007
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life5/4/20013/23/2007
InactiveNew York Life Insurance Company300431Agent - Health4/8/19937/1/2014
InactiveNew York Life Insurance Company300431Agent - Life4/8/19937/1/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health9/5/19957/1/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life9/5/19957/1/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/31/20017/1/2014
InactivePaul Revere Life Insurance Company300971Agent - Health6/23/200012/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life6/23/200012/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/31/199712/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/31/199712/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Health6/23/200012/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life6/23/200012/30/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities3/4/20087/1/2014

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