DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maciarz, Anita Ellen	DOIID	828971	NAIC NPN	16882719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/6/2015	11/30/2019
Inactive	Non Resident	Agent	Life	12/5/2013	11/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/2/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/2/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/2/2018	11/30/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/11/2017	12/19/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	8/7/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/2/2018	11/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2017	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/29/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/29/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/29/2017	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/29/2017	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/29/2017	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2017	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2017	12/19/2019
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/17/2013	11/14/2014
Inactive	Omaha Health Insurance Company	301296	Agent - Health	10/25/2018	10/14/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/24/2019	11/30/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	11/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/17/2018	11/30/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/17/2018	11/30/2019