DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Borajkiewicz, Jeffrey J	DOIID	881828	NAIC NPN	10352012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/29/2015		11/30/2025
Active	Non Resident	Agent	Health	6/29/2015		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/22/2022	7/23/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/22/2022	7/23/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Health	9/3/2015
Active	ReliaStar Life Insurance Company	301712	Agent - Life	9/3/2015
Inactive	Starmount Life Insurance Company	628031	Agent - Health	3/22/2022	7/23/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/30/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/30/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/22/2022	7/23/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/22/2022	7/23/2024
Inactive	Unum Insurance Company	301499	Agent - Health	3/22/2022	7/23/2024
Inactive	Unum Insurance Company	301499	Agent - Life	3/22/2022	7/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custom Benefit Programs Inc	630774	Agent - Life	3/24/2022	4/10/2024
Inactive	Custom Benefit Programs Inc	630774	Agent - Health	3/24/2022	4/10/2024