DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rozmiarek, Andrew Scott	DOIID	1157994	NAIC NPN	16178176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/8/2024		5/31/2027
* 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
Agent	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	5/28/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	4/8/2024
Active	QBE Insurance Corporation	300515	Agent - Health	4/17/2024
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	4/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allied Benefit Systems, LLC	665231	Agent - Health	4/18/2024