DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chicoski Iii, Edward Joseph	DOIID	716922	NAIC NPN	5439842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Limited Line Credit	10/29/2009	12/31/2015
Inactive	Non Resident	Agent	Casualty	11/14/2017	12/31/2021
Inactive	Non Resident	Agent	Travel	10/29/2009	12/31/2015
Inactive	Non Resident	Agent	Property	11/14/2017	12/31/2021
Inactive	Non Resident	Agent	Life	10/29/2009	12/31/2015
Inactive	Non Resident	Agent	Health	10/29/2009	12/31/2015
* 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	9/15/2011	12/3/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/16/2012	12/3/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/16/2012	12/3/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/15/2011	12/3/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/16/2012	12/3/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/16/2012	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/15/2011	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/15/2011	12/3/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/16/2012	12/3/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/16/2012	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2012	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/17/2012	12/3/2012
Inactive	TNUS Insurance Company	593776	Agent - Casualty	1/15/2018	2/26/2018
Inactive	TNUS Insurance Company	593776	Agent - Property	1/15/2018	2/26/2018
Inactive	Tokio Marine America Insurance Company	786458	Agent - Casualty	1/15/2018	12/31/2021
Inactive	Tokio Marine America Insurance Company	786458	Agent - Property	1/15/2018	12/31/2021
Inactive	Trans Pacific Insurance Company	300076	Agent - Casualty	1/15/2018	2/26/2018
Inactive	Trans Pacific Insurance Company	300076	Agent - Property	1/15/2018	2/26/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto Technician Ins LLC	976755	Agent - Property	11/16/2017	3/31/2019
Inactive	Auto Technician Ins LLC	976755	Agent - Casualty	11/16/2017	3/31/2019
Denied	Designated Agent Company Inc.	681257	Agent - Life
Denied	Designated Agent Company Inc.	681257	Agent - Health
Inactive	Medlink Inc	400721	Agent - Life	11/24/2009	8/31/2011
Inactive	Medlink Inc	400721	Agent - Health	11/24/2009	8/31/2011