DEPARTMENT OF INSURANCE

Affiliations

Name	Kazakis, Stephen M	DOIID	855680	NAIC NPN	15816555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/19/2015	8/31/2018
Inactive	Non Resident	Agent	Health	10/19/2015	8/31/2018
* 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	10/30/2015	4/20/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/30/2015	4/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/6/2016	1/4/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/6/2016	1/4/2017
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	6/8/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/16/2016	8/15/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/23/2015	9/29/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	8/31/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/30/2015	4/20/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/23/2015	9/29/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/30/2015	4/20/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/26/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/26/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/23/2015	9/29/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/23/2015	9/29/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/26/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/26/2016	6/8/2018
Inactive	SILAC Insurance Company	300535	Agent - Health	11/2/2016	8/31/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	11/2/2016	8/31/2018
Inactive	State Mutual Insurance Company	300359	Agent - Health	11/28/2016	9/27/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/23/2016	8/31/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/23/2016	8/31/2018
Inactive	United American Insurance Company	300910	Agent - Health	10/4/2016	9/10/2018
Inactive	United American Insurance Company	300910	Agent - Life	10/4/2016	9/10/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/19/2015	3/9/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	3/9/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/19/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/19/2015	3/9/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/6/2016	1/3/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/6/2016	1/3/2017
Denied	Ensurem II LLC	908041	Agent - Life
Denied	Ensurem II LLC	908041	Agent - Health