DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sikorski, Daniel	DOIID	805282	NAIC NPN	16531416

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/7/2013	1/31/2015
Inactive	Non Resident	Agent	Life	3/7/2013	1/31/2015
* 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
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/21/2013	11/4/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/21/2013	11/4/2014
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/8/2013	10/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Efinancial LLC	598419	Agent - Life	1/6/2014	10/31/2014
Inactive	Efinancial LLC	598419	Agent - Health	1/6/2014	10/31/2014