DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gelonek, Mary Catherine	DOIID	945227	NAIC NPN	2557228

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/17/2017	3/31/2024
Inactive	Non Resident	Agent	Life	2/17/2017	3/31/2024
* 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	American General Life Insurance Company	301585	Agent - Health	3/3/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	3/3/2017	12/23/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/14/2018	3/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/14/2018	3/31/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	4/9/2020	12/1/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/21/2017	4/2/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/21/2017	4/2/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/6/2021	3/31/2024

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	12/14/2018	3/31/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/14/2018	3/31/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/13/2018	4/21/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/13/2018	4/21/2022