DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Holicky, Bernard P	DOIID	804476	NAIC NPN	1949143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2013		12/31/2026
Active	Non Resident	Agent	Life	2/26/2013		12/31/2026
Active	Non Resident	Agent	Casualty	2/26/2013		12/31/2026
Active	Non Resident	Agent	Health	2/26/2013		12/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	3/22/2019
Active	ACE American Insurance Company	300625	Agent - Property	3/22/2019
Inactive	New York Life Insurance Company	300431	Agent - Health	4/18/2019	12/2/2020
Inactive	New York Life Insurance Company	300431	Agent - Life	4/18/2019	12/2/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	4/19/2019	7/21/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	4/19/2019	7/21/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Life	4/19/2019	7/21/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Health	4/19/2019	7/21/2020