DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fondow, Andrew T	DOIID	1106967	NAIC NPN	10213916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2020		1/31/2026
Active	Non Resident	Agent	Life	10/23/2020		1/31/2026
* 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
Active	Prudential Insurance Company of America	300784	Agent - Health	1/27/2021
Active	Prudential Insurance Company of America	300784	Agent - Life	1/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Insurance Agency LLC	516101	Agent - Life	2/26/2021
Active	Aon Insurance Agency LLC	516101	Agent - Health	2/26/2021