DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pacholski, Richard J	DOIID	355024	NAIC NPN	301073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/26/1995	7/31/2008
Inactive	Non Resident	Agent	Life	1/26/1995	7/31/2008
* 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	Resource Life Insurance Company	300284	Agent - Health	8/24/1998	2/7/2007
Inactive	Resource Life Insurance Company	300284	Agent - Life	8/24/1998	2/7/2007
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	1/26/1995	12/31/1998
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	1/26/1995	12/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurant Dealer Services, Inc	399660	Agent - Life	8/27/2004	1/29/2007
Inactive	Assurant Dealer Services, Inc	399660	Agent - Health	8/27/2004	1/29/2007