DEPARTMENT OF INSURANCE

Affiliations

Name	Sackowski, Brian J	DOIID	968314	NAIC NPN	7545626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/18/2017	6/30/2022
Inactive	Non Resident	Agent	Life	9/18/2017	6/30/2022
Inactive	Non Resident	Agent	Casualty	9/18/2017	6/30/2022
Inactive	Non Resident	Agent	Health	9/18/2017	6/30/2022
* 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 - Life	6/26/2020	6/7/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/1/2020	6/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/4/2020	6/7/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/1/2020	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/1/2020	6/30/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	6/4/2020	8/11/2021
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	5/27/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	12/23/2020	1/14/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	12/23/2020	1/14/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/4/2020	6/7/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/12/2019	7/31/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/12/2019	7/31/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	5/6/2020	6/30/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/27/2020	6/30/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/8/2020	6/30/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/22/2019	6/30/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/22/2019	6/30/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/22/2019	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/22/2019	5/27/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/1/2020	6/30/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/20/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/20/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Thurston Springer Insurance	983884	Agent - Life
Denied	Thurston Springer Insurance	983884	Agent - Health
Inactive	Thurston Springer Insurance	983884	Agent - Property	11/5/2019	6/30/2022
Inactive	Thurston Springer Insurance	983884	Agent - Casualty	11/5/2019	6/30/2022
Denied	Usi Insurance Services LLC	669260	Agent - Life
Denied	Usi Insurance Services LLC	669260	Agent - Health
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty