DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cichy, Aaron Matthew	DOIID	759246	NAIC NPN	5074973

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/26/2011	4/12/2012
Inactive	Non Resident	Agent	Life	7/26/2011	4/12/2012
* 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	8/31/2011	4/12/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/31/2011	4/12/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/31/2011	4/12/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2011	4/12/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2011	4/12/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/30/2011	4/12/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/30/2011	4/12/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2011	4/12/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/10/2011	4/12/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/10/2011	4/12/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/14/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/14/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/11/2011	4/12/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/14/2011	4/12/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2011	4/12/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/31/2011	4/12/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/31/2011	4/12/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/31/2011	4/12/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	9/19/2011	4/12/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	9/19/2011	4/12/2012