DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kosloske, Michael William	DOIID	516721	NAIC NPN	528835

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/27/2006	10/8/2021
Inactive	Non Resident	Agent	Health	9/13/2002	10/8/2021
Inactive	Non Resident	Agent	Life	7/25/2011	10/8/2021
* 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	American General Life Insurance Company	301585	Agent - Health	12/31/2012	3/11/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	11/29/2007	12/31/2012
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/14/2003	4/6/2006
Inactive	Clarendon National Insurance Company	300843	Agent - Health	10/22/2002	3/31/2008
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/15/2011	1/30/2017
Inactive	Fairmont Premier Insurance Company	300892	Agent - Health	3/31/2004	3/25/2008
Inactive	Securian Life Insurance Company	300757	Agent - Health	11/9/2007	9/15/2009
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/10/2005	3/18/2010
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	5/31/2011	6/22/2016
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/8/2008	10/8/2021
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	11/29/2007	3/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Administrators Inc.	396170	Administrator - Not Applicable	10/17/2006	11/13/2007
Inactive	Health Plan Intermediaries Holdings	786463	Administrator - Not Applicable	8/7/2013	10/8/2021
Inactive	Health Plan Intermediaries LLC	753604	Agent - Health	6/17/2011	3/31/2015