DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaczmar, John Kevin	DOIID	944342	NAIC NPN	1743030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/8/2017	10/31/2022
Inactive	Non Resident	Agent	Life	2/8/2017	10/31/2022
* 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	Accendo Insurance Company	300312	Agent - Health	11/22/2021	10/31/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	11/22/2021	10/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/22/2021	10/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	11/23/2021	6/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	11/23/2021	6/8/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/20/2018	10/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/20/2018	10/31/2022
Inactive	Aspen American Insurance Company	301513	Agent - Health	2/28/2020	12/14/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/22/2021	10/31/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/22/2021	10/31/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/16/2019	11/2/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/16/2019	11/2/2022
Inactive	LifeShield National Insurance Company	737111	Agent - Health	6/26/2019	12/20/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/13/2021	10/31/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/6/2017	11/23/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/9/2020	3/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/20/2018	10/31/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/20/2018	10/31/2022