DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Borajkiewicz, Jeffrey J	DOIID	881828	NAIC NPN	10352012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/29/2015	11/30/2025
Inactive	Non Resident	Agent	Life	6/29/2015	11/30/2025
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	3/22/2022	7/23/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/22/2022	7/23/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/3/2015	11/30/2025
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/3/2015	11/30/2025
Inactive	Starmount Life Insurance Company	628031	Agent - Health	3/22/2022	7/23/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/30/2019	11/30/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/30/2019	11/30/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/22/2022	7/23/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/22/2022	7/23/2024
Inactive	Unum Insurance Company	301499	Agent - Health	3/22/2022	7/23/2024
Inactive	Unum Insurance Company	301499	Agent - Life	3/22/2022	7/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custom Benefit Programs Inc	630774	Agent - Life	3/24/2022	4/10/2024
Inactive	Custom Benefit Programs Inc	630774	Agent - Health	3/24/2022	4/10/2024