DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cusick, Kathleen J	DOIID	935828	NAIC NPN	1833675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/4/2016	2/28/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/19/2017	2/28/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/26/2017	2/28/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/19/2017	2/28/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/26/2017	2/28/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/12/2017	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/19/2017	2/28/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/17/2017	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/8/2016	12/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/17/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/12/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/12/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/17/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/8/2016	12/10/2016
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/1/2017	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/28/2017	1/31/2018