DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Karpuska, Denis Mitchell	DOIID	343781	NAIC NPN	243424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/14/2003	1/31/2013
Inactive	Non Resident	Agent	Health	7/14/2003	1/31/2013
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/31/2011	1/31/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/31/2011	1/31/2013
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	8/3/2005	11/20/2012
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/3/2005	11/20/2012
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/9/1994	3/31/1997
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/9/1994	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/7/2005	1/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/7/2005	1/31/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/2/2005	1/31/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/2/2005	1/31/2013
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/27/2005	1/31/2013
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/27/2005	1/31/2013
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	7/27/2005	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	7/27/2005	6/25/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Life	7/27/2005	1/31/2013
Inactive	The Farmington Company	534046	Agent - Health	7/27/2005	1/31/2013