DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Fredric Raymond	DOIID	329873	NAIC NPN	7176213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	7/6/1990	8/15/2000
Inactive	Resident	Agent	Life	7/6/1990	11/10/2011
Inactive	Resident	Agent	Health	7/6/1990	11/10/2011
Inactive	Resident	Agent	Casualty	8/15/2000	12/2/2011
Inactive	Resident	Agent	Property	8/15/2000	12/2/2011
* 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 Insurance Companies, Inc.	300941	Agent - Health	7/6/1990	3/31/1998
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	11/10/2011
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	11/10/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/8/2010	11/28/2011
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/8/2010	11/28/2011
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	11/3/2011
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	7/6/1990	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	11/3/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2004	11/30/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2004	11/30/2011
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/28/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/28/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	11/3/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	7/6/1990	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	11/3/2011
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/6/1990	11/3/2011
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/6/1990	11/3/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	11/10/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	11/10/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/6/2005	11/3/2011
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/13/1990	11/1/2011
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/13/1990	11/1/2011
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/13/1990	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	11/1/2011
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	11/1/2011