DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaczyk, John	DOIID	917839	NAIC NPN	17550501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/14/2016		3/31/2026
Active	Non Resident	Agent	Life	6/14/2016		3/31/2026
* 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	01/15/2026	03/31/2026

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	9/22/2020	7/11/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2020	7/11/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/22/2020	7/11/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/2/2020	5/25/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/22/2020	7/11/2022
Inactive	USAA Life Insurance Company	300734	Agent - Health	6/16/2016	3/31/2025
Inactive	USAA Life Insurance Company	300734	Agent - Life	6/16/2016	3/31/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/19/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/18/2020	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	6/20/2016	11/6/2019
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	6/20/2016	11/6/2019
Inactive	USAA Life General Agency Inc	399318	Agent - Health	9/17/2020	3/28/2025
Inactive	USAA Life General Agency Inc	399318	Agent - Life	9/17/2020	3/28/2025