DEPARTMENT OF INSURANCE

Affiliations

Name	Kuzma And Co Inc	DOIID	742234	NAIC NPN	16013891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/8/2015	11/19/2024
Inactive	Non Resident	Agent	Health	7/8/2015	11/19/2024
Denied	Non Resident	Managing General Agent	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	American Retirement Life Insurance Company	706303	Agent - Health	3/13/2014	3/31/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/13/2014	3/31/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/3/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	4/3/2017	12/21/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/28/2015	2/22/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/28/2015	2/22/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/30/2011	5/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/30/2011	5/1/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Health	9/12/2011	1/2/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Life	9/12/2011	1/2/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/14/2014	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2011	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	3/14/2014	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	3/14/2014	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/30/2011	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/30/2011	5/1/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	3/30/2012	3/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/30/2012	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/30/2012	5/1/2014
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/7/2016	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/7/2016	12/21/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	6/24/2013
Inactive	PHL Variable Insurance Company	300525	Agent - Life	12/7/2011	3/31/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/21/2011	11/4/2011
Inactive	Reserve National Insurance Company	301073	Agent - Health	11/12/2012	3/31/2015
Inactive	Reserve National Insurance Company	301073	Agent - Life	11/12/2012	3/31/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/8/2015	1/7/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	1/7/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/7/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	1/7/2021
Inactive	Washington National Insurance Company	300587	Agent - Health	11/10/2011	12/29/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	11/10/2011	12/29/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kuzma, Roy Michael	342831	Agent - Health	7/8/2015	11/18/2024
Inactive	Kuzma, Roy Michael	342831	Agent - Life	7/8/2015	11/18/2024