DEPARTMENT OF INSURANCE

Affiliations

Name	Jarcik, Kurt M	DOIID	703480	NAIC NPN	4564074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/9/2009	3/31/2018
Inactive	Non Resident	Agent	Health	4/9/2009	3/31/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/26/2012	3/31/2018
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/11/2014	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/26/2012	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/26/2012	3/31/2018
Inactive	American Continental Insurance Company	643130	Agent - Health	7/18/2014	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	7/18/2014	11/11/2014
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	5/28/2014	10/22/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/8/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/29/2014	3/31/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	1/29/2014	3/31/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/13/2017	3/31/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/11/2014	3/31/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/15/2009	4/4/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/15/2009	4/4/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/4/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/16/2009	3/31/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/16/2009	3/31/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/16/2009	3/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/16/2009	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/16/2009	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/20/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/20/2012	5/13/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/30/2009	1/24/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/30/2009	1/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/6/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/6/2011	10/22/2015
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/22/2014	3/31/2018
Inactive	Time Insurance Company	300683	Agent - Health	2/9/2013	3/31/2018
Inactive	Time Insurance Company	300683	Agent - Life	2/9/2013	3/31/2018
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/24/2012	3/31/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2014	3/6/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	3/6/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/31/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	3/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	3/31/2018
Inactive	InsureMonkey, Inc	700312	Agent - Life	5/15/2009	3/31/2017
Inactive	InsureMonkey, Inc	700312	Agent - Health	5/15/2009	3/31/2017