DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Zawacki, Kimberly Ann	DOIID	738754	NAIC NPN	15945041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/2/2010	5/31/2013
Inactive	Non Resident	Agent	Life	10/5/2011	5/31/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/24/2011	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/24/2011	5/31/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2010	5/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	3/28/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	3/28/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/29/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/29/2011	12/26/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/9/2011	3/28/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/17/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/31/2011	3/1/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/31/2011	3/1/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/16/2010	5/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	3/4/2011	5/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2010	5/31/2013