DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sivak, Rebecca L	DOIID	1049104	NAIC NPN	12408254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/20/2020		9/30/2025
Active	Non Resident	Agent	Life	7/29/2019		9/30/2025
Active	Non Resident	Agent	Property	7/29/2019		9/30/2025
Active	Non Resident	Agent	Casualty	7/29/2019		9/30/2025
Active	Non Resident	Agent	Health	7/29/2019		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	07/15/2025	09/30/2025
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/20/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/20/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/29/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/29/2019
Active	SilverScript Insurance Company	663526	Agent - Health	9/20/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	10/24/2023
Active	United States Fire Insurance Company	582240	Agent - Health	10/24/2023
Active	United States Fire Insurance Company	582240	Agent - Property	10/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Co-Ordinated Benefit Plans Llc	397781	Administrator - Not Applicable	1/23/2020	9/24/2020