DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rychlicki, Helen	DOIID	623538	NAIC NPN	8646058

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/1/2016	5/31/2019
* 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	Humana Health Plan, Inc.	300142	Agent - Health	12/8/2010	5/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	9/20/2010	5/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	5/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/12/2017	11/8/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/12/2017	11/8/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/1/2016	12/19/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2017	11/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	United States Pharmaceutical Group LLC	620386	Agent - Health