DEPARTMENT OF INSURANCE

Affiliations

Name	Wiercinski, Joshua	DOIID	881542	NAIC NPN	17515100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2015	6/30/2026
Active	Non Resident	Agent	Life	6/25/2015	6/30/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/29/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/3/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/29/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	6/29/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	5/12/2016	12/22/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	5/12/2016	12/22/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/13/2018	12/10/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/5/2016	12/22/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/5/2016	12/22/2020
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/14/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/14/2017	6/8/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	6/29/2018
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/2/2017	11/22/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/13/2018	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/29/2019	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	1/29/2019	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/13/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/13/2018	12/19/2019
Inactive	Independent Life Insurance Company	301831	Agent - Health	3/2/2018	7/6/2018
Inactive	Independent Life Insurance Company	301831	Agent - Life	3/2/2018	7/6/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	3/2/2017	12/22/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	3/2/2017	12/22/2020
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	8/10/2017	2/12/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	6/2/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	3/7/2017	4/5/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	3/7/2017	4/5/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	10/12/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	10/12/2017	12/26/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/13/2018	10/21/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	6/16/2017	9/19/2019
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/7/2017	7/25/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	1/31/2019	5/8/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/17/2018	2/21/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	6/17/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/17/2018	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021