DEPARTMENT OF INSURANCE

Affiliations

Name	Dziedzic, Waldemar	DOIID	334519	NAIC NPN	752144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/19/1997	5/24/1999
Pending Replacement	Non Resident	Agent	Health	8/27/2020		6/30/2025
* 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	04/15/2025	06/30/2025

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	8/5/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/15/2022	9/14/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/5/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/5/2022
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	8/7/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2022	6/15/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/24/2022	6/15/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/24/2022	6/15/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/2/2022	12/12/2024
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/19/1997	5/24/1999
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/19/1997	5/24/1999
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/16/2022	6/13/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/24/2022	6/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/16/2022	9/14/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2022	12/12/2024
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	8/19/1997	5/24/1999
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	8/19/1997	5/24/1999
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/22/2022
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/5/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2022	6/13/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/16/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/10/2020	6/1/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/16/2022	6/13/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/10/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/10/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/14/2022	5/25/2023