DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Szelagowski, Kevin	DOIID	907546	NAIC NPN	5407310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/22/2016		10/31/2024
Active	Non Resident	Agent	Health	2/22/2016		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/1/2021
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/1/2021
Active	Symetra Life Insurance Company	301691	Agent - Health	9/28/2019
Active	Symetra Life Insurance Company	301691	Agent - Life	9/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/5/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/5/2024