DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fombo, Stephania N	DOIID	1016606	NAIC NPN	18691016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/24/2018		7/31/2027
Active	Non Resident	Agent	Life	10/24/2018		7/31/2027
* 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	05/15/2025	07/31/2025	06/12/2025	06/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	5/9/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/13/2018	5/9/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	12/13/2018	8/11/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/13/2018	5/9/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	2/12/2019
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/12/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/29/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/29/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/14/2018	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/14/2018	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	11/15/2018
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	11/15/2018