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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

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