DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larozar, Willems	DOIID	1359699	NAIC NPN	21277821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/5/2024		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/14/2024	4/24/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/23/2024	5/3/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	9/1/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2024	5/11/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2024	5/11/2026
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/27/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/5/2024	5/11/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/23/2024	5/3/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/1/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/27/2026
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/27/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/19/2025	2/20/2026