DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stitz, Gary D	DOIID	503831	NAIC NPN	942035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/9/2011	11/30/2018
Inactive	Non Resident	Agent	Health Maintenance Organization	3/31/2000	3/1/2001
Inactive	Non Resident	Agent	Health	5/9/2011	11/30/2018
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Aetna Health Inc.	300694	Agent - Health	8/6/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/22/2012	11/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/22/2012	11/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/22/2012	11/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2004	11/30/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2004	11/30/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/3/2018	4/20/2018
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/28/2000	11/30/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/28/2000	11/30/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2015	11/30/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015	11/30/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/20/2011	11/30/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/31/2000	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/18/2013	11/29/2016

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	10/15/2004	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/15/2004	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	11/30/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	11/30/2008
Inactive	Medlink Inc	400721	Agent - Life	3/7/2002	11/30/2008
Inactive	Medlink Inc	400721	Agent - Health	3/7/2002	11/30/2008