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DEPARTMENT OF INSURANCE
Affiliations
Name
Urivetzky, Lewis M
DOIID
724512
NAIC NPN
9663748
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
5/23/2013
10/31/2018
Inactive
Non Resident
Agent
Life
5/23/2013
10/31/2018
* 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
AXA XL Insurance Company Americas
300979
Agent - Health
4/24/2014
10/31/2018
Inactive
AXIS Insurance Company
301290
Agent - Health
9/23/2016
10/31/2018
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
9/29/2014
7/6/2015
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
9/29/2014
7/6/2015
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/25/2014
8/14/2015
Inactive
Companion Life Insurance Company
300191
Agent - Health
4/21/2010
10/31/2012
Inactive
Companion Life Insurance Company
300191
Agent - Life
4/4/2011
10/31/2012
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
4/25/2014
8/14/2015
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
8/31/2016
12/6/2018
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
8/31/2016
12/6/2018
Inactive
HCC Life Insurance Company
301827
Agent - Health
7/14/2016
10/3/2016
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
4/25/2014
8/14/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
4/25/2014
8/14/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
4/25/2014
8/14/2015
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/25/2014
8/14/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/25/2014
8/14/2015
Inactive
Medico Corp Life Insurance Company
301777
Agent - Health
9/2/2014
4/26/2015
Inactive
Medico Corp Life Insurance Company
301777
Agent - Life
9/2/2014
4/26/2015
Inactive
Medico Insurance Company
301559
Agent - Health
9/4/2014
4/26/2015
Inactive
Medico Insurance Company
301559
Agent - Life
9/4/2014
4/26/2015
Inactive
Reserve National Insurance Company
301073
Agent - Health
7/30/2014
10/27/2015
Inactive
Reserve National Insurance Company
301073
Agent - Life
7/30/2014
10/27/2015
Inactive
SILAC Insurance Company
300535
Agent - Health
8/4/2014
2/5/2015
Inactive
SILAC Insurance Company
300535
Agent - Life
8/4/2014
2/5/2015
Inactive
Starr Indemnity and Liability Company
301685
Agent - Health
10/14/2011
10/31/2012
Inactive
Unified Life Insurance Company
543169
Agent - Health
1/25/2018
12/6/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
7/22/2014
10/31/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
7/22/2014
10/31/2018
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Infinity Direct Ins Llc
806942
Agent - Life
4/25/2014
3/31/2015
Inactive
Infinity Direct Ins Llc
806942
Agent - Health
4/24/2014
3/31/2015
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