DEPARTMENT OF INSURANCE

Affiliations

Name	Bukszar, Raymond John	DOIID	349285	NAIC NPN	99765

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/23/1993	11/30/2005
Inactive	Resident	Agent	Life	8/23/1993	11/30/2005
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/21/1995	10/31/1997
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/21/1995	10/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/6/1999	1/18/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/6/1999	1/18/2005
Inactive	Columbian Life Insurance Company	300810	Agent - Health	2/2/1999	9/21/2001
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/2/1999	9/21/2001
Inactive	Conseco Health Insurance Company	301725	Agent - Health	1/17/2001	5/28/2004
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/22/1996	3/31/1997
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/22/1996	3/31/1997
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	9/24/1999	3/21/2001
Inactive	Financial Benefit Life Insurance Company	301049	Agent - Life	11/11/1994	10/30/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/21/1995	10/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/21/1995	10/31/1997
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	9/14/1993	3/31/1997
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	9/14/1993	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/14/1994	4/22/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/14/1994	4/22/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/20/1997	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/20/1997	1/3/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/5/1993	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/5/1993	11/19/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	11/5/1997	6/29/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	11/5/1997	6/29/2000
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Health	11/6/1996	11/19/2003
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Life	11/6/1996	11/19/2003
Inactive	Time Insurance Company	300683	Agent - Health	11/11/1993	11/23/1998
Inactive	Time Insurance Company	300683	Agent - Life	11/11/1993	11/23/1998
Inactive	USG Annuity & Life Company	300457	Agent - Life	6/9/1995	12/26/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/20/1997	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/20/1997	11/17/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	8/23/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	8/23/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	1/18/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	1/18/2005
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997