DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tebyani, Frank	DOIID	1254998	NAIC NPN	89741

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/7/2023		4/30/2026
Active	Non Resident	Agent	Life	2/7/2023		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/10/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/10/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	2/10/2023
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/14/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frontier Insurance Distribution LLC	1309175	Agent - Life	11/6/2023	12/12/2024
Inactive	Frontier Insurance Distribution LLC	1309175	Agent - Health	11/6/2023	12/12/2024