DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hambisa, Fantaye M	DOIID	1113305	NAIC NPN	19560745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/9/2020		10/31/2025
Active	Non Resident	Agent	Life	12/9/2020		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	7/7/2021
Active	American General Life Insurance Company	301585	Agent - Life	7/7/2021
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/30/2024	10/14/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/9/2021	7/16/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/9/2021	7/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	2/9/2021	7/15/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	2/9/2021	7/15/2024