PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKosloske, Tyler DOIID931107NAIC NPN17873686
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable7/26/20212/29/2024 
InactiveNon ResidentAgentHealth3/16/20212/29/2024 
InactiveNon ResidentAgentLife3/16/20212/29/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEverest Reinsurance Company301836Agent - Health10/11/20162/28/2018
InactiveS.USA Life Insurance Company, Inc.301774Agent - Health4/15/202212/30/2022
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life1/11/202212/30/2022
InactiveUnified Life Insurance Company543169Agent - Health10/6/201612/12/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFourth Generation Benefits, LLC1126200Agent - Life3/24/20214/15/2021
InactiveFourth Generation Benefits, LLC1126200Agent - Health3/24/20214/15/2021
DeniedHealth Plan Intermediaries Holdings786463Agent - Life  
DeniedHealth Plan Intermediaries Holdings786463Agent - Health  
InactiveSelfgood LLC1128659Agent - Life4/8/20216/29/2023
InactiveSelfgood LLC1128659Agent - Health4/8/202112/30/2022
InactiveSelfgood LLC1128659Administrator - Not Applicable7/28/20212/13/2023

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