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.

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