DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wieczorek, Maria A	DOIID	1343835	NAIC NPN	1425339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/5/2024		4/30/2026
* 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	02/15/2026	04/30/2026

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	6/11/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/11/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/11/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/5/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/12/2024	2/5/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/23/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	6/18/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	6/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/5/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/5/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	6/12/2024