DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lutzenberger, Kristen	DOIID	663833	NAIC NPN	6386402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/13/2007	7/31/2021
Inactive	Non Resident	Agent	Health	9/13/2007	7/31/2021
* 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	Berkley Life and Health Insurance Company	301421	Agent - Health	8/29/2019	7/31/2021
Inactive	Hartford Fire Insurance Company	300628	Agent - Health	11/5/2018	7/31/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/29/2012	8/30/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/29/2012	8/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/23/2008	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/23/2008	12/30/2009
Inactive	StarNet Insurance Company	502746	Agent - Health	8/29/2019	7/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/23/2008	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/23/2008	12/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	7/31/2021
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019	7/31/2021