DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wiktorski, Marlo	DOIID	715091	NAIC NPN	8870519

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/6/2009	11/30/2015
Inactive	Non Resident	Agent	Life	10/6/2009	11/30/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	10/25/2009	3/22/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/25/2009	3/22/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/25/2009	3/22/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2009	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/25/2009	3/22/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/25/2009	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/25/2009	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/25/2009	3/22/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/25/2009	3/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/8/2010	11/30/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/8/2010	11/30/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/8/2010	11/30/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2010	11/30/2015

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	12/2/2013	11/30/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	11/30/2015
Inactive	Medlink Inc	400721	Agent - Life	10/25/2009	11/30/2015
Inactive	Medlink Inc	400721	Agent - Health	10/25/2009	11/30/2015