PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameTowers Watson Pennsylvania IncDOIID502884NAIC NPN1621441
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/24/20001/22/2015 
InactiveNon ResidentAgentHealth2/24/20001/22/2015 
InactiveNon ResidentAgentHealth Maintenance Organization5/2/20003/1/2001 
InactiveNon ResidentAgentCasualty8/15/20001/22/2015 
InactiveNon ResidentAgentProperty8/15/20001/22/2015 
InactiveNon ResidentAgentGeneral Lines5/8/20008/15/2000 
InactiveNon ResidentSurplus Lines BrokerNot Applicable7/20/200611/12/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty4/5/201111/19/2013
InactiveACE American Insurance Company300625Agent - Property4/5/201111/19/2013
InactiveAetna Health Inc.300694Agent - Health9/6/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20071/22/2015
InactiveAetna Life Insurance Company301140Agent - Health9/6/20011/22/2015
InactiveAetna Life Insurance Company301140Agent - Life9/6/20011/22/2015
InactiveArch Insurance Company300688Agent - Casualty4/29/201012/18/2013
InactiveArch Insurance Company300688Agent - Property4/29/201012/18/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty12/13/201312/3/2014
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property12/13/201312/3/2014
InactiveBaptist Health Plan, Inc.300157Agent - Health6/9/20041/22/2015
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health5/5/20041/22/2015
InactiveCIGNA Health & Life Insurance Company301783Agent - Health2/7/20131/22/2015
InactiveCIGNA Health & Life Insurance Company301783Agent - Life2/7/20131/22/2015
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty12/12/200512/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property12/12/200512/5/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health5/5/20046/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life5/5/20046/11/2014
InactiveExecutive Risk Indemnity Inc.301510Agent - Casualty2/21/20031/22/2015
InactiveExecutive Risk Indemnity Inc.301510Agent - Property2/21/200310/18/2004
InactiveFarmington Casualty Company301137Agent - Casualty12/12/200512/5/2013
InactiveFarmington Casualty Company301137Agent - Property12/12/200512/5/2013
InactiveHartford Life and Accident Insurance Company300878Agent - Health5/12/20141/22/2015
InactiveHartford Life and Accident Insurance Company300878Agent - Life5/12/20141/22/2015
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20017/6/2012
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization5/2/20003/1/2001
InactiveHumana Insurance Company301104Agent - Health8/3/20091/22/2015
InactiveHumana Insurance Company301104Agent - Life8/3/20091/22/2015
InactiveIndemnity Insurance Company of North America301760Agent - Casualty4/5/201111/19/2013
InactiveIndemnity Insurance Company of North America301760Agent - Property4/5/201111/19/2013
InactiveMetropolitan Life Insurance Company301948Agent - Health3/3/20101/22/2015
InactiveMetropolitan Life Insurance Company301948Agent - Life3/3/20101/22/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/23/20031/15/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/23/20031/15/2015
InactivePrudential Insurance Company of America300784Agent - Health2/24/200011/13/2014
InactivePrudential Insurance Company of America300784Agent - Life2/24/200011/13/2014
InactiveReliaStar Life Insurance Company301712Agent - Health9/13/20061/22/2015
InactiveReliaStar Life Insurance Company301712Agent - Life9/13/20061/22/2015
InactiveReliaStar Life Insurance Company of New York301018Agent - Health9/13/20066/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life9/13/20066/25/2008
InactiveSafety National Casualty Corporation300390Agent - Casualty3/29/20111/22/2015
InactiveSafety National Casualty Corporation300390Agent - Property3/29/20111/22/2015
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty12/12/200512/5/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property12/12/200512/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty12/12/200512/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property12/12/200512/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty12/12/200512/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Property12/12/200512/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty12/12/200512/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Property12/12/200512/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/12/200512/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Property12/12/200512/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty12/12/200512/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property12/12/200512/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Casualty12/12/20051/22/2015
InactiveTravelers Casualty and Surety Company301067Agent - Property12/12/20051/22/2015
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty6/10/20131/22/2015
InactiveTravelers Casualty and Surety Company of America301334Agent - Property6/10/20131/22/2015
InactiveTravelers Commercial Casualty Company301695Agent - Casualty12/12/20058/2/2013
InactiveTravelers Commercial Casualty Company301695Agent - Property12/12/20058/2/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty12/13/20131/22/2015
InactiveTravelers Commercial Insurance Company301506Agent - Property12/13/20131/22/2015
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty12/13/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property12/13/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - General Lines5/8/20008/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/200012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty12/12/20051/22/2015
InactiveTravelers Indemnity Company of America (The)301093Agent - Property12/12/20051/22/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty12/12/200512/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property12/12/200512/5/2013
InactiveTravelers Property Casualty Company of America301649Agent - Casualty12/12/200512/3/2014
InactiveTravelers Property Casualty Company of America301649Agent - Property12/12/200512/3/2014
InactiveUNUM Life Insurance Company of America300817Agent - Health5/17/20131/15/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life5/17/20131/15/2015
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/14/200410/3/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/14/200410/3/2013
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/14/200410/3/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/14/200410/3/2013
InactiveWestchester Fire Insurance Company300990Agent - Casualty4/5/201111/19/2013
InactiveWestchester Fire Insurance Company300990Agent - Property4/5/201111/19/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAgeloff, Alexandra Novy 628750Agent - Health6/20/20061/22/2015
InactiveAgeloff, Alexandra Novy 628750Agent - Life6/20/20061/22/2015
InactiveArciszewski, Kristy T 749250Agent - Health2/5/201311/12/2013
InactiveArciszewski, Kristy T 749250Agent - Life2/5/201311/12/2013
InactiveBelko, Robert Walter 545127Agent - Casualty4/1/201412/8/2014
InactiveBelko, Robert Walter 545127Agent - Property4/1/201412/8/2014
InactiveBukowski, Mark Stephen 692923Agent - Health2/5/20131/22/2015
InactiveBukowski, Mark Stephen 692923Agent - Life2/5/20131/22/2015
InactiveClark, Bradley Sumner 517698Agent - Casualty2/26/20031/9/2004
InactiveClark, Bradley Sumner 517698Agent - Property2/26/20031/9/2004
InactiveDizenhouse, Joseph 732466Agent - Health2/7/20131/22/2015
InactiveDizenhouse, Joseph 732466Agent - Life2/7/20131/22/2015
InactiveDobrolinsky, Keith 677268Agent - Casualty5/23/20088/4/2008
InactiveDobrolinsky, Keith 677268Agent - Property5/23/20088/4/2008
InactiveDownard, Jeanne Jaeger 544469Agent - Health1/25/20026/3/2005
InactiveDownard, Jeanne Jaeger 544469Agent - Life1/25/20026/3/2005
InactiveDriscoll, Mary Clare 516584Agent - Health2/11/20022/23/2010
InactiveDriscoll, Mary Clare 516584Agent - Life2/11/20022/23/2010
InactiveEicher, Robert Daniel 504496Agent - Health8/21/20001/22/2015
InactiveEicher, Robert Daniel 504496Agent - Life8/21/20001/22/2015
InactiveEmery, Jenny Parker 621461Agent - Casualty5/22/20069/30/2012
InactiveEmery, Jenny Parker 621461Agent - Property5/22/20069/30/2012
InactiveFreedman, Marc Bradley 557594Agent - Health2/26/20031/22/2015
InactiveFreedman, Marc Bradley 557594Agent - Life2/26/20036/11/2014
InactiveGrellner, Elizabeth A 822833Agent - Casualty4/1/201412/3/2014
InactiveGrellner, Elizabeth A 822833Agent - Health11/20/20131/22/2015
InactiveGrellner, Elizabeth A 822833Agent - Life11/20/20131/22/2015
InactiveGrellner, Elizabeth A 822833Agent - Property4/1/201412/3/2014
InactiveHemmerich, Richard William 592056Agent - Health9/11/20061/2/2013
InactiveHemmerich, Richard William 592056Agent - Life9/11/20061/2/2013
InactiveIannuci, Robert D 346496Agent - Health2/11/20022/26/2003
InactiveIannuci, Robert D 346496Agent - Life2/11/20022/26/2003
InactiveKaintz, Craig L 558200Agent - Health2/26/20032/23/2010
InactiveKaintz, Craig L 558200Agent - Life2/26/20032/23/2010
InactiveLaird, Mary Elizabeth 516364Agent - Health2/11/20022/26/2003
InactiveLaird, Mary Elizabeth 516364Agent - Life2/11/20022/26/2003
InactiveLevene, Stephen Keith 500200Agent - Casualty12/3/20091/22/2015
InactiveLevene, Stephen Keith 500200Agent - Property12/3/20091/22/2015
InactiveMazol, Gregory F 501092Agent - Health2/24/200012/22/2000
InactiveMazol, Gregory F 501092Agent - Life2/24/200012/22/2000
InactiveMitarotonda, Richard Lewis 503999Agent - Casualty8/15/200010/1/2009
InactiveMitarotonda, Richard Lewis 503999Agent - General Lines5/8/20008/15/2000
InactiveMitarotonda, Richard Lewis 503999Agent - Property8/15/200010/1/2009
InactiveMoran, Christine 731315Agent - Casualty8/4/20101/5/2011
InactiveMoran, Christine 731315Agent - Property8/4/20101/5/2011
InactiveMoran, Christine 731315Surplus Lines Broker - Not Applicable8/4/201011/27/2012
InactiveNelson, Craig J 320849Agent - Casualty2/2/20115/31/2012
InactiveNelson, Craig J 320849Agent - Health1/5/20115/31/2012
InactiveNelson, Craig J 320849Agent - Life1/5/20115/31/2012
InactiveNelson, Craig J 320849Agent - Property2/2/20115/31/2012
InactiveNelson, Craig J 320849Surplus Lines Broker - Not Applicable1/5/20115/31/2012
InactiveO'Connell, John Joseph 501002Agent - Health2/24/20001/15/2002
InactiveO'Connell, John Joseph 501002Agent - Health Maintenance Organization5/2/20003/1/2001
InactiveO'Connell, John Joseph 501002Agent - Life2/24/20001/15/2002
InactiveO'Gorman, Mary Kathleen 504888Agent - Casualty8/15/200011/25/2003
InactiveO'Gorman, Mary Kathleen 504888Agent - General Lines5/8/20008/15/2000
InactiveO'Gorman, Mary Kathleen 504888Agent - Property8/15/200011/25/2003
InactiveParnow, Charles Joseph 757264Agent - Health2/5/20131/22/2015
InactiveParnow, Charles Joseph 757264Agent - Life2/7/20131/22/2015
DeniedPerry, Paul 664326Agent - Casualty  
DeniedPerry, Paul 664326Agent - Property  
InactiveRacioppo, Lawrence A 782012Agent - Casualty7/26/201212/9/2013
InactiveRacioppo, Lawrence A 782012Agent - Property7/26/201212/9/2013
InactiveRacioppo, Lawrence A 782012Surplus Lines Broker - Not Applicable6/1/201211/12/2013
InactiveRamos, Cindi Lenkowski 633498Agent - Casualty7/5/20068/4/2010
InactiveRamos, Cindi Lenkowski 633498Agent - Property7/5/20068/4/2010
InactiveRamos, Cindi Lenkowski 633498Surplus Lines Broker - Not Applicable7/12/20068/4/2010
InactiveSilver, Alan Joseph 757195Agent - Health2/5/20131/22/2015
InactiveSilver, Alan Joseph 757195Agent - Life2/7/20131/22/2015
InactiveSmall, John William 554350Agent - Health2/26/20032/23/2010
InactiveSmall, John William 554350Agent - Life2/26/20032/23/2010
DeniedThiel, John 656698Agent - Casualty  
DeniedThiel, John 656698Agent - Property  
InactiveWaterman, Michael L 664187Agent - Casualty12/7/20071/22/2015
InactiveWaterman, Michael L 664187Agent - Property12/7/20071/22/2015

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