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.
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 
ActiveAetna Health Inc. (PA)660717Agent - Health9/6/2018 
ActiveAetna Health and Life Insurance Company300523Agent - Health5/30/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/6/2018 
ActiveAetna Life Insurance Company301140Agent - Life9/6/2018 
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
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/3/2023 
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
ActiveFamily Life Insurance Company300356Agent - Health6/18/2015 
InactiveFamily Life Insurance Company300356Agent - Life6/18/201511/30/2018
InactiveFederal Insurance Company301144Agent - Health10/6/20162/28/2023
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/6/2018 
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
ActiveLifeSecure Insurance Company301629Agent - Health2/25/2019 
InactiveLumico Life Insurance Company300354Agent - Life8/31/20211/19/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health1/26/2023 
ActiveNational Guardian Life 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
ActiveReserve National Insurance Company301073Agent - Health9/10/2024 
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
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
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 
ActiveUnitedHealthcare Insurance Company300946Agent - Health10/9/2018 
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
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/9/2018 
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
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health7/10/2024 
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

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