DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cisar, Brian W	DOIID	728312	NAIC NPN	6493019

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/13/2010	10/3/2016
Inactive	Non Resident	Agent	Health	5/13/2010	10/3/2016
Inactive	Non Resident	Agent	Casualty	5/13/2010	10/3/2016
* 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	AMEX Assurance Company	301728	Agent - Casualty	6/11/2010	7/18/2013
Inactive	AMEX Assurance Company	301728	Agent - Health	6/11/2010	7/18/2013
Inactive	AMEX Assurance Company	301728	Agent - Property	6/11/2010	7/18/2013
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/21/2014	8/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2013	8/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/16/2013	8/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	8/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	6/11/2010	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Property	6/11/2010	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	6/11/2010	1/18/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	1/29/2013	7/17/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	1/29/2013	7/17/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	1/29/2013	7/17/2013