DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Surovetz, Nelson	DOIID	830052	NAIC NPN	3251298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/20/2013	8/20/2018
Inactive	Non Resident	Agent	Life	12/20/2013	8/20/2018
* 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	7/27/2016	8/20/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/27/2016	8/20/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/27/2016	8/20/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/26/2016	12/20/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/27/2016	8/20/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/25/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/25/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/25/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/25/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/25/2016	6/8/2018
Inactive	USAA Life Insurance Company	300734	Agent - Health	12/27/2013	8/20/2018
Inactive	USAA Life Insurance Company	300734	Agent - Life	12/27/2013	8/20/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	4/2/2015	8/20/2018
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	4/2/2015	8/20/2018
Inactive	USAA Life General Agency Inc	399318	Agent - Life	7/6/2016	8/20/2018
Inactive	USAA Life General Agency Inc	399318	Agent - Health	7/6/2016	8/20/2018