DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	S T Surface & Assoc Inc	DOIID	602262	NAIC NPN	8380191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Administrator	Not Applicable
Active	Non Resident	Agent	Health	6/11/2021		3/31/2027
Inactive	Non Resident	Agent	Life	3/16/2017	3/31/2021
Denied	Non Resident	Managing General Agent	Not Applicable
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/17/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/24/2017	3/31/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/12/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	5/12/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/22/2019	3/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	1/31/2005	11/9/2012
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/24/2017	3/31/2021
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/17/2006	10/4/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/26/2009	9/27/2011
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	5/4/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	5/4/2017	12/26/2018
Active	SilverScript Insurance Company	663526	Agent - Health	6/17/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Surface, Stephen T	600118	Agent - Health	6/11/2021
Inactive	Surface, Stephen T	600118	Agent - Life	3/16/2017	3/31/2021