PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameUpstate Special Risk ServicesDOIID717005NAIC NPN1975528
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth11/6/20093/31/2019 
InactiveNon ResidentAgentLife11/6/20093/31/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health and Life Insurance Company300523Agent - Health10/3/20173/31/2019
InactiveAmerican Continental Insurance Company643130Agent - Life10/3/20173/31/2019
InactiveBanner Life Insurance Company301696Agent - Life1/28/20133/31/2019
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/3/20173/31/2019
InactiveGenworth Life Insurance Company300623Agent - Health11/19/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life11/19/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/19/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/19/200912/7/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/4/20093/31/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/4/20093/31/2019
InactiveVenerable Insurance and Annuity Company301006Agent - Health11/13/20095/29/2015
InactiveVenerable Insurance and Annuity Company301006Agent - Life11/13/20095/29/2015
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKalinowski, Andrew Joseph 502074Agent - Health11/6/20093/31/2019
InactiveKalinowski, Andrew Joseph 502074Agent - Life11/6/20093/31/2019

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