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DEPARTMENT OF INSURANCE
Affiliations
Name
Urivetzky, Lewis M
DOIID
724512
NAIC NPN
9663748
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
5/23/2013
10/31/2018
Inactive
Non Resident
Agent
Life
5/23/2013
10/31/2018
* 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
AXIS Insurance Company
301290
Agent - Health
9/23/2016
10/31/2018
Inactive
Catlin Insurance Company, Inc.
300979
Agent - Health
4/24/2014
10/31/2018
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
9/29/2014
7/6/2015
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
9/29/2014
7/6/2015
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/25/2014
8/14/2015
Inactive
Companion Life Insurance Company
300191
Agent - Health
4/21/2010
10/31/2012
Inactive
Companion Life Insurance Company
300191
Agent - Life
4/4/2011
10/31/2012
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
4/25/2014
8/14/2015
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
8/31/2016
12/6/2018
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
8/31/2016
12/6/2018
Inactive
HCC Life Insurance Company
301827
Agent - Health
7/14/2016
10/3/2016
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
4/25/2014
8/14/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
4/25/2014
8/14/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
4/25/2014
8/14/2015
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/25/2014
8/14/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/25/2014
8/14/2015
Inactive
Medico Corp Life Insurance Company
301777
Agent - Health
9/2/2014
4/26/2015
Inactive
Medico Corp Life Insurance Company
301777
Agent - Life
9/2/2014
4/26/2015
Inactive
Medico Insurance Company
301559
Agent - Health
9/4/2014
4/26/2015
Inactive
Medico Insurance Company
301559
Agent - Life
9/4/2014
4/26/2015
Inactive
Reserve National Insurance Company
301073
Agent - Health
7/30/2014
10/27/2015
Inactive
Reserve National Insurance Company
301073
Agent - Life
7/30/2014
10/27/2015
Inactive
SILAC Insurance Company
300535
Agent - Health
8/4/2014
2/5/2015
Inactive
SILAC Insurance Company
300535
Agent - Life
8/4/2014
2/5/2015
Inactive
Starr Indemnity and Liability Company
301685
Agent - Health
10/14/2011
10/31/2012
Inactive
Unified Life Insurance Company
543169
Agent - Health
1/25/2018
12/6/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
7/22/2014
10/31/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
7/22/2014
10/31/2018
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Infinity Direct Ins Llc
806942
Agent - Life
4/25/2014
3/31/2015
Inactive
Infinity Direct Ins Llc
806942
Agent - Health
4/24/2014
3/31/2015
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