DEPARTMENT OF INSURANCE

Affiliations

Name	Bartosic, Jeffry A	DOIID	352392	NAIC NPN	284464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/25/2005		12/31/2025
Active	Non Resident	Agent	Life	12/28/1995		12/31/2025
Active	Non Resident	Agent	Health	12/28/1995		12/31/2025
Active	Non Resident	Agent	Casualty	5/25/2005		12/31/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	3/30/1998	3/1/2001
* 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
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/12/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	12/28/1995	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	12/28/1995	12/20/2013
Active	Anthem Life Insurance Company	301209	Agent - Health	12/31/1998
Active	Anthem Life Insurance Company	301209	Agent - Life	12/31/1998
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	3/30/1998	3/1/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/8/2013	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/24/2008	12/13/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/24/2008	12/13/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/8/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/8/2013	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/8/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/8/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	5/8/2013	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/16/2012	7/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/16/2012	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/16/2012	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/16/2012	7/20/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/15/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/15/2021
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	12/8/2003	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	12/8/2003	11/12/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/13/2005	4/3/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/13/2005	4/3/2007
Active	Metropolitan Life Insurance Company	301948	Agent - Health	9/24/2004
Active	Metropolitan Life Insurance Company	301948	Agent - Life	9/24/2004
Active	ReliaStar Life Insurance Company	301712	Agent - Health	4/21/2003
Active	ReliaStar Life Insurance Company	301712	Agent - Life	4/21/2003
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	8/23/1999	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	8/23/1999	6/25/2008
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/21/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/21/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/18/1998	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/18/1998	6/20/2008
Inactive	Associated Financial Group LLC	577636	Agent - Life	10/11/2005	3/25/2021
Inactive	Associated Financial Group LLC	577636	Agent - Health	10/11/2005	3/25/2021
Denied	Associated Financial Group LLC	577636	Agent - Property
Denied	Associated Financial Group LLC	577636	Agent - Casualty
Active	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008