DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Laskowski, John	DOIID	710788	NAIC NPN	8400868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/8/2009	6/30/2017
Inactive	Non Resident	Agent	Casualty	9/8/2009	6/30/2017
Inactive	Non Resident	Agent	Property	9/8/2009	6/30/2017
Inactive	Non Resident	Agent	Health	9/8/2009	6/30/2017
* 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	3/3/2010	7/5/2016
Inactive	New York Life Insurance Company	300431	Agent - Life	3/3/2010	7/5/2016
Inactive	Response Insurance Company	300240	Agent - Casualty	2/8/2013	1/2/2014
Inactive	Response Insurance Company	300240	Agent - Property	2/8/2013	1/2/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	2/8/2013	10/7/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	2/8/2013	10/7/2014

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 Administration Llc	656414	Agent - Health	1/13/2014	7/5/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/13/2014	7/5/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/13/2014	10/7/2014
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/13/2014	10/7/2014
Inactive	Seabury & Smith Inc	394854	Agent - Health	5/21/2010	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Life	5/21/2010	4/8/2014
Denied	Seabury & Smith Inc	394854	Agent - Property