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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

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 Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/31/1998	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/31/1998	4/15/2025
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
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	2/7/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	2/7/2025