DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Arciszewski, Kristy T	DOIID	749250	NAIC NPN	5077387

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/3/2011		8/31/2025
Active	Non Resident	Agent	Health	3/3/2011		8/31/2025
* 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 Heritage Life Insurance Company	300272	Agent - Health	4/17/2011	9/23/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/17/2011	9/23/2011
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/7/2013
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/7/2013
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	2/7/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/7/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/7/2013	6/11/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/22/2011	12/17/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/22/2011	12/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/5/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/5/2024
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Health	2/5/2013	11/12/2013
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Life	2/5/2013	11/12/2013