DEPARTMENT OF INSURANCE
Affiliations
NameKozlowski, Richard NDOIID930406NAIC NPN8700652
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/22/2016 9/30/2026
ActiveNon ResidentAgentLife9/22/2016 9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202609/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/12/2017 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/23/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health7/14/2017 
ActiveAetna Life Insurance Company301140Agent - Life7/14/2017 
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/3/202012/3/2021
InactiveAmerican Continental Insurance Company643130Agent - Life8/23/20178/11/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/1/20226/11/2025
ActiveAmerican General Life Insurance Company301585Agent - Health12/21/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life12/21/2023 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/22/2017 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health12/9/2024 
InactiveBankers Fidelity Assurance Company554627Agent - Health8/7/201711/11/2020
InactiveBankers Fidelity Assurance Company554627Agent - Life8/7/201711/11/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health8/7/201711/11/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Life8/7/201711/11/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health5/2/20191/6/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life5/2/20191/6/2025
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/23/2017 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life1/8/2022 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/29/2024 
InactiveElips Life Insurance Company301087Agent - Health4/14/20221/23/2025
InactiveElixir Insurance Company696846Agent - Health9/17/201910/1/2020
ActiveEmphesys Insurance Company300598Agent - Health12/5/2025 
InactiveEssence Healthcare, Inc.657425Agent - Health10/18/202212/24/2024
ActiveFirst Health Life & Health Insurance Company301735Agent - Health7/14/2017 
ActiveHumana Insurance Company301104Agent - Health11/18/2024 
InactiveLumico Life Insurance Company300354Agent - Health7/27/20212/17/2023
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/23/2021 
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/29/2017 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health5/29/201712/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/29/2017 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/29/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health6/23/20172/10/2025
ActiveLifesmart, LLC930588Agent - Life9/26/2016 
ActiveLifesmart, LLC930588Agent - Health9/26/2016 

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