DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gutka, Stephen M	DOIID	988866	NAIC NPN	18739397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/20/2018	8/1/2019
Inactive	Resident	Agent	Life	4/20/2018	8/1/2019
* 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	Northwestern Long Term Care Insurance Company	300135	Agent - Health	6/8/2018	2/13/2019
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	4/24/2018	2/13/2019
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	4/24/2018	2/13/2019
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	3/12/2019	8/1/2019
Inactive	Thrivent Financial for Lutherans	301101	Agent - Life	3/12/2019	8/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thrivent Ins Agency Inc	510973	Agent - Health	3/29/2019	8/1/2019
Inactive	Thrivent Ins Agency Inc	510973	Agent - Life	3/29/2019	8/1/2019