DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ciolko, Marek Paul	DOIID	754271	NAIC NPN	15693958

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	10/29/2012		3/31/2025
Active	Non Resident	Agent	Health	11/8/2013		3/31/2025
Active	Non Resident	Agent	Life	11/8/2013		3/31/2025
* 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
Active	Anthem Life Insurance Company	301209	Agent - Health	12/4/2013
Active	Anthem Life Insurance Company	301209	Agent - Life	12/4/2013
Active	CareSource Kentucky Co.	838179	Agent - Health	2/15/2021
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/22/2016	6/12/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/22/2017	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/22/2017	12/10/2018
Inactive	Independence American Insurance Company	524747	Agent - Health	5/6/2019	12/18/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/31/2021
Active	National Guardian Life Insurance Company	300596	Agent - Health	1/12/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	1/18/2023
Active	Nationwide Life Insurance Company	300495	Agent - Life	1/18/2023
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	7/13/2016
Inactive	Time Insurance Company	300683	Agent - Health	5/2/2014	3/1/2018
Inactive	Time Insurance Company	300683	Agent - Life	5/2/2014	3/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bloom Health Ins Agency LLC	754562	Agent - Health	5/18/2011	3/31/2013
Inactive	Bloom Health Services, LLC	796292	Administrator - Not Applicable	10/29/2012	3/31/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	12/4/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/4/2013
Active	Gravie Administrative Services LLC	1091625	Administrator - Not Applicable	9/1/2020
Active	Gravie Agency LLC	825889	Agent - Health	11/18/2013
Active	Gravie Agency LLC	825889	Agent - Life	11/18/2013