DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Healthcare Access Group LLC	DOIID	712340	NAIC NPN	14707308

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/16/2010	3/31/2015
Inactive	Non Resident	Agent	Health	8/28/2009	3/31/2015
* 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	Time Insurance Company	300683	Agent - Health	3/25/2010	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/25/2010	12/20/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wysocki, Bradley S	676203	Agent - Health	8/28/2009	3/31/2015
Inactive	Wysocki, Bradley S	676203	Agent - Life	3/16/2010	3/31/2015