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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	02/15/2026	04/30/2026
Agent	02/15/2026	04/30/2026

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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/4/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/4/2017	4/15/2025
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
Inactive	Continental American Insurance Company	301700	Agent - Health	9/15/2017	9/30/2025
Inactive	Continental American Insurance Company	301700	Agent - Life	9/15/2017	9/30/2025
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
Active	Standard Insurance Company	300185	Agent - Health	2/5/2025
Active	Standard Insurance Company	300185	Agent - Life	2/5/2025
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