DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Anthony D	DOIID	1039319	NAIC NPN	6761557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	5/6/2019		2/28/2026
Pending Replacement	Non Resident	Agent	Casualty	5/6/2019		2/28/2026
Pending Replacement	Non Resident	Agent	Life	5/6/2019		2/28/2026
* 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
Pending Replacement	Allied Insurance Company of America	793586	Agent - Casualty	2/6/2022
Pending Replacement	Allied Insurance Company of America	793586	Agent - Property	2/6/2022
Pending Replacement	American Economy Insurance Company	300315	Agent - Casualty	3/5/2020
Pending Replacement	American Economy Insurance Company	300315	Agent - Property	3/5/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/11/2021	7/7/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/9/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/9/2020	12/20/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/5/2021	12/27/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/5/2021	12/27/2023
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/9/2025
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/9/2025
Pending Replacement	SAFECO Insurance Company of America	300159	Agent - Casualty	3/5/2020
Pending Replacement	SAFECO Insurance Company of America	300159	Agent - Property	3/5/2020
Pending Replacement	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/5/2020
Pending Replacement	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/5/2020
Pending Replacement	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/4/2021
Pending Replacement	Selective Insurance Company of the Southeast	300381	Agent - Property	8/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Affordable American INS	1040584	Agent - Casualty	12/5/2019
Inactive	Affordable American INS	1040584	Agent - Life	12/5/2019	7/7/2022
Pending Replacement	Affordable American INS	1040584	Agent - Property	12/5/2019