DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fritz, Antonina	DOIID	1048890	NAIC NPN	7270116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/26/2019	6/15/2021
Inactive	Non Resident	Agent	Health	7/26/2019	6/15/2021
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/16/2019	6/15/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/16/2019	6/15/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/5/2020	6/15/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/5/2020	6/15/2021
Inactive	Independence American Insurance Company	524747	Agent - Health	6/26/2020	6/15/2021
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	6/26/2020	6/15/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/6/2019	2/21/2020
Inactive	National Health Insurance Company	300554	Agent - Health	7/29/2020	6/15/2021
Inactive	National Health Insurance Company	300554	Agent - Life	7/29/2020	6/15/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/26/2019	6/15/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/26/2019	6/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	My Health Advisers, Inc	1049249	Agent - Life	7/30/2019	6/15/2021
Inactive	My Health Advisers, Inc	1049249	Agent - Health	7/30/2019	6/15/2021