DEPARTMENT OF INSURANCE
Affiliations
NameKlesack, Edward RodDOIID523996NAIC NPN2424616
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities3/29/2001 10/31/2025
ActiveNon ResidentAgentHealth5/26/2004 10/31/2025
ActiveNon ResidentAgentLife5/26/2004 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life11/3/202112/23/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities11/16/202112/16/2024
ActiveAmerican General Life Insurance Company301585Agent - Life12/15/2021 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/15/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/4/2025 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/2021 
InactiveBanner Life Insurance Company301696Agent - Life10/18/201211/4/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health5/23/20129/3/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/2021 
InactiveDental Concern Inc. (The)301641Agent - Health5/23/20129/3/2013
InactiveEquitable Financial Life Insurance Company300808Agent - Health5/26/20048/26/2004
InactiveEquitable Financial Life Insurance Company300808Agent - Life5/26/20048/26/2004
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities5/10/20048/26/2004
InactiveHumana Health Plan, Inc.300142Agent - Health5/23/20129/3/2013
InactiveHumana Insurance Company301104Agent - Health5/22/20129/3/2013
InactiveHumana Insurance Company301104Agent - Life5/22/20129/3/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/23/20129/3/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/23/20129/3/2013
ActiveJackson National Life Insurance Company300486Agent - Life12/20/2021 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/20/2021 
InactiveKanawha Insurance Company300127Agent - Health5/23/20129/3/2013
InactiveKanawha Insurance Company300127Agent - Life5/23/20129/3/2013
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health1/15/2025 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/15/2025 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/15/2025 
InactiveReliance Standard Life Insurance Company300584Agent - Health5/26/200411/12/2012
InactiveReliance Standard Life Insurance Company300584Agent - Life5/26/200411/12/2012
InactiveTime Insurance Company300683Agent - Health5/25/201212/20/2014
InactiveTime Insurance Company300683Agent - Life5/25/201212/20/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Health5/16/201212/20/2014
InactiveCBISA Reaquisitian Corp547026Agent - Life5/16/201211/4/2016
InactiveDesignated Agent Company Inc.681257Agent - Health12/6/201312/20/2014
InactiveDesignated Agent Company Inc.681257Agent - Life12/6/201311/4/2016

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