DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kopydlowski, Gerald	DOIID	692339	NAIC NPN	1316377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/7/2009	1/18/2012
Inactive	Non Resident	Agent	Casualty	12/7/2009	1/18/2012
Inactive	Non Resident	Agent	Life	10/29/2008	1/18/2012
Inactive	Non Resident	Agent	Health	10/29/2008	1/18/2012
* 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	New York Life Insurance Company	300431	Agent - Health	9/14/2010	10/26/2010
Inactive	New York Life Insurance Company	300431	Agent - Life	9/14/2010	10/26/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Seabury & Smith Inc	394854	Agent - Health
Denied	Seabury & Smith Inc	394854	Agent - Life