DEPARTMENT OF INSURANCE
Affiliations
NameDziewit, David ADOIID803041NAIC NPN15808430
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/5/2013 10/31/2026
ActiveNon ResidentAgentLife2/5/2013 10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202610/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Health10/6/20162/28/2023
InactiveAXA XL Insurance Company Americas300979Agent - Health9/23/20156/18/2018
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life1/31/2025 
InactiveAetna Health Inc. (PA)660717Agent - Health9/6/20188/11/2025
ActiveAetna Health and Life Insurance Company300523Agent - Health5/30/2017 
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/24/20208/11/2025
InactiveAetna Life Insurance Company301140Agent - Health9/6/20188/11/2025
InactiveAetna Life Insurance Company301140Agent - Life9/6/20188/11/2025
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/24/20204/8/2022
InactiveAmerican Continental Insurance Company643130Agent - Life5/30/20178/11/2021
ActiveAmerican Financial Security Life Insurance Co.301635Agent - Health7/7/2020 
InactiveAmerican General Life Insurance Company301585Agent - Health6/14/20161/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Life6/14/20161/15/2022
InactiveAmerican Heritage Life Insurance Company300272Agent - Health10/23/20195/11/2021
InactiveAmerican Heritage Life Insurance Company300272Agent - Life10/23/20195/11/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/4/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/4/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/4/20214/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health1/29/2024 
InactiveAssurity Life Insurance Company301099Agent - Health1/20/201412/8/2014
InactiveAssurity Life Insurance Company301099Agent - Life1/20/201412/8/2014
InactiveBankers Fidelity Assurance Company554627Agent - Health4/29/201912/18/2023
InactiveBankers Fidelity Assurance Company554627Agent - Life4/29/201912/18/2023
InactiveBankers Fidelity Life Insurance Company300193Agent - Health4/29/201912/18/2023
InactiveBankers Fidelity Life Insurance Company300193Agent - Life4/29/201912/18/2023
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/16/2026
InactiveCareSource Kentucky Co.838179Agent - Health11/3/202312/23/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Health6/6/20142/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life6/6/20142/3/2025
ActiveColonial Penn Life Insurance Company300491Agent - Life2/17/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health10/2/201312/8/2015
ActiveCompanion Life Insurance Company300191Agent - Health9/12/2019 
ActiveCompanion Life Insurance Company300191Agent - Life9/12/2019 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/30/2017 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life1/31/2025 
InactiveDental Concern Inc. (The)301641Agent - Health10/2/201312/8/2015
InactiveElixir Insurance Company696846Agent - Health1/3/20189/18/2020
InactiveFamily Life Insurance Company300356Agent - Health6/18/201510/24/2025
InactiveFamily Life Insurance Company300356Agent - Life6/18/201511/30/2018
InactiveFederal Insurance Company301144Agent - Health10/6/20162/28/2023
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/6/20188/11/2025
InactiveGPM Health and Life Insurance Company927255Agent - Health8/23/20198/24/2020
ActiveGolden Rule Insurance Company301943Agent - Health4/11/2024 
ActiveGolden Rule Insurance Company301943Agent - Life4/11/2024 
InactiveHCC Life Insurance Company301827Agent - Health2/22/20166/12/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/2/202112/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/2/201312/8/2015
InactiveHumana Health Plan, Inc.300142Agent - Health1/5/201712/10/2018
InactiveHumana Insurance Company301104Agent - Health10/2/201312/8/2015
InactiveHumana Insurance Company301104Agent - Life10/2/201312/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/2/201312/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/2/201312/8/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201412/8/2015
InactiveKanawha Insurance Company300127Agent - Health1/9/20171/22/2018
InactiveKanawha Insurance Company300127Agent - Life12/14/201510/14/2016
InactiveLifeSecure Insurance Company301629Agent - Health2/25/20194/10/2026
InactiveLumico Life Insurance Company300354Agent - Life8/31/20211/19/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health1/26/2023 
ActiveNGL Insurance Company300596Agent - Health1/12/2021 
ActiveNational Health Insurance Company300554Agent - Health7/29/2016 
ActiveNorth River Insurance Company (The)301739Agent - Health9/19/2020 
InactiveOrder of United Commercial Travelers of America301723Agent - Health11/3/201412/30/2016
InactiveOrder of United Commercial Travelers of America301723Agent - Life11/3/201412/30/2016
ActivePan-American Life Insurance Company301530Agent - Health3/4/2025 
ActivePan-American Life Insurance Company301530Agent - Life3/4/2025 
InactivePhiladelphia American Life Insurance Company300178Agent - Health9/5/20172/13/2024
InactivePhiladelphia American Life Insurance Company300178Agent - Life9/5/20172/13/2024
InactivePioneer American Insurance Company301268Agent - Life10/10/20166/20/2017
InactiveReserve National Insurance Company301073Agent - Health9/10/20242/28/2026
InactiveReserve National Insurance Company301073Agent - Life4/7/20158/10/2017
InactiveSILAC Insurance Company300535Agent - Health4/1/201412/30/2015
InactiveSILAC Insurance Company300535Agent - Life4/1/201412/30/2015
InactiveSilverScript Insurance Company663526Agent - Health8/23/20198/11/2025
InactiveStandard Security Life Insurance Company of NY301487Agent - Health8/4/201612/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life8/4/201612/26/2018
ActiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life2/29/2024 
InactiveTime Insurance Company300683Agent - Health3/1/201311/23/2019
InactiveTime Insurance Company300683Agent - Life3/1/201311/23/2019
InactiveUnified Life Insurance Company543169Agent - Health12/9/201611/15/2023
ActiveUnited States Fire Insurance Company582240Agent - Health4/5/2018 
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/9/20182/16/2026
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/9/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health12/18/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life12/18/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/9/201812/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/9/20182/16/2026
ActiveWashington National Insurance Company300587Agent - Health11/9/2016 
ActiveWashington National Insurance Company300587Agent - Life11/9/2016 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/16/202012/29/2021
InactiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health7/10/20243/6/2026
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/13/20213/2/2025
ActiveWestern United Life Insurance Company659052Agent - Health7/15/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life6/2/20162/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health6/2/20162/10/2025
ActiveNational Health Plans & Benefits Agency LLC901345Agent - Life12/9/2015 
ActiveNational Health Plans & Benefits Agency LLC901345Agent - Health12/9/2015 
InactiveNational Health Plans LLC829340Agent - Life12/11/20133/31/2015
InactiveNational Health Plans LLC829340Agent - Health12/11/20133/31/2015
ActiveNational Senior Insurance Services Inc1311096Agent - Health1/7/2026 

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