DEPARTMENT OF INSURANCE

Affiliations

Name	Belecki, Lynn Karol	DOIID	803110	NAIC NPN	16883592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/19/2016	4/30/2026
Active	Non Resident	Agent	Casualty	4/23/2013	4/30/2026
Active	Non Resident	Agent	Life	2/6/2013	4/30/2026
Active	Non Resident	Agent	Property	4/23/2013	4/30/2026
Active	Non Resident	Agent	Health	2/6/2013	4/30/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/10/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/10/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/15/2016	5/29/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/15/2016	5/29/2019
Active	American Heritage Life Insurance Company	300272	Agent - Health	2/16/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	2/16/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/26/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/26/2023	5/3/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/26/2023	5/3/2024
Active	Anthem Life Insurance Company	301209	Agent - Health	2/4/2017
Active	Anthem Life Insurance Company	301209	Agent - Life	2/4/2017
Inactive	Arch Insurance Company	300688	Agent - Health	10/25/2018	4/30/2024
Active	Combined Insurance Company of America	301472	Agent - Health	5/2/2023
Active	Combined Insurance Company of America	301472	Agent - Life	5/2/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/26/2023	5/3/2024
Active	Continental American Insurance Company	301700	Agent - Health	9/15/2017
Active	Continental American Insurance Company	301700	Agent - Life	9/15/2017
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/13/2013	5/14/2024
Inactive	Farmington Casualty Company	301137	Agent - Property	5/13/2013	5/14/2024
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	8/23/2023	4/30/2024
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	8/23/2023	4/30/2024
Inactive	Insurance Company of the West	301520	Agent - Casualty	5/18/2022	5/1/2024
Inactive	Insurance Company of the West	301520	Agent - Property	5/18/2022	5/1/2024
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/12/2013	5/2/2024
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/12/2013	5/2/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/10/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/18/2020	3/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/18/2020	3/23/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/18/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/18/2020	3/23/2022
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	10/26/2023	5/3/2024
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	10/26/2023	5/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Century II Services Inc	866091	Agent - Life	8/6/2019	6/17/2021
Inactive	Century II Services Inc	866091	Agent - Health	8/6/2019	6/17/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/6/2017	5/6/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/6/2017	5/6/2024
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	2/15/2013	5/10/2024
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	2/15/2013	5/10/2024
Inactive	Paychex Insurance Agency Inc	509469	Agent - Property	5/13/2013	5/10/2024
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	5/13/2013	5/10/2024
Inactive	Paychex Insurance Agency Inc	509469	Administrator - Not Applicable	3/5/2016	6/7/2024