DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

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
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	4/5/2024	12/11/2024
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	4/5/2024	12/11/2024
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