DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kozakiewicz, Diane Nancy	DOIID	504421	NAIC NPN	3220963

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/14/2003	12/31/2004
Inactive	Non Resident	Agent	Life	4/14/2003	12/31/2004
Inactive	Non Resident	Agent	Property	8/15/2000	12/31/2004
Inactive	Non Resident	Agent	General Lines	3/29/2000	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/31/2004
* 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	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	3/4/2004
Inactive	First National Insurance Company of America	301690	Agent - General Lines	5/1/2000	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	3/4/2004
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	3/4/2004
Inactive	General Insurance Company of America	300261	Agent - General Lines	5/1/2000	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	3/4/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	3/4/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/29/2000	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	3/4/2004
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/2/2000	3/4/2004
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/2/2000	3/4/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/14/2003	12/28/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/14/2003	12/28/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Property	11/26/2001	3/4/2004
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Casualty	11/26/2001	3/4/2004