DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jurkowski, Christopher Joseph	DOIID	735528	NAIC NPN	7485952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/1/2010	2/28/2013
Inactive	Non Resident	Agent	Life	9/1/2010	2/28/2013
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/14/2010	9/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/14/2010	9/1/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/13/2012	9/4/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/13/2012	9/4/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/29/2010	9/22/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/29/2010	9/22/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/13/2012	9/4/2012
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2011	9/4/2012
Inactive	Humana Insurance Company	301104	Agent - Life	8/25/2011	9/4/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/13/2012	9/4/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/13/2012	9/4/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/28/2010	9/1/2011
Inactive	Pioneer American Insurance Company	301268	Agent - Health	11/22/2010	8/23/2011
Inactive	Pioneer American Insurance Company	301268	Agent - Life	11/22/2010	8/23/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/28/2010	9/1/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/28/2010	9/1/2011

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 - Health	11/14/2010	9/11/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/14/2010	9/11/2011