DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kostka, Jamie Nicole	DOIID	678426	NAIC NPN	9260939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/15/2008	3/31/2013
Inactive	Non Resident	Agent	Life	4/15/2008	3/31/2013
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/26/2009	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/26/2009	11/16/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	7/16/2008	3/31/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/16/2008	3/31/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/12/2008	3/31/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	3/31/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	6/4/2009	4/5/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	6/4/2009	4/5/2013
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/26/2009	7/13/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/26/2009	7/13/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/4/2009	4/5/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/4/2009	4/5/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/6/2011	3/31/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/6/2011	3/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	3/30/2012	3/31/2013
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	3/30/2012	3/31/2013