DEPARTMENT OF INSURANCE

Affiliations

Name	Pietroski, Frank	DOIID	855812	NAIC NPN	5410615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	5/19/2015	9/30/2021
Inactive	Non Resident	Agent	Property	5/19/2015	9/30/2021
Inactive	Non Resident	Agent	Health	10/9/2014	9/30/2021
Inactive	Non Resident	Agent	Life	10/9/2014	9/30/2021
* 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	9/12/2017	9/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	9/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/12/2017	9/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/12/2017	9/30/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/3/2021	4/25/2021
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/5/2017	9/30/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/5/2017	9/30/2021
Inactive	Continental American Insurance Company	301700	Agent - Health	10/10/2014	2/16/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/10/2014	2/16/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2017	9/30/2021
Inactive	National Casualty Company	301483	Agent - Casualty	6/12/2015	9/30/2021
Inactive	National Casualty Company	301483	Agent - Property	6/12/2015	9/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/16/2014	3/1/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/16/2014	3/1/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/5/2014	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/5/2014	12/18/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	9/30/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/16/2014	3/1/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/16/2014	3/1/2016
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	6/12/2015	9/30/2021
Inactive	DVM Insurance Agency	636779	Agent - Casualty	6/12/2015	9/30/2021