DEPARTMENT OF INSURANCE

Affiliations

Name	Fahey, John Michael	DOIID	335407	NAIC NPN	689401

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/19/2002	9/1/2011
Inactive	Resident	Agent	Health	8/19/2002	9/1/2011
Inactive	Resident	Agent	Property	8/19/2002	9/1/2011
Inactive	Resident	Agent	Life	8/19/2002	9/1/2011
Inactive	Resident	Agent	General Lines	3/24/1994	8/15/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/25/2007	2/13/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/25/2007	2/13/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/24/2003	5/24/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/24/2003	5/24/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/30/2007	2/18/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/30/2007	2/18/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/28/2002	1/19/2004
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	4/14/1998	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/28/2002	1/19/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/29/2003	9/1/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/29/2003	9/1/2011
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/1/2007	9/16/2009
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/1/2007	9/16/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/28/2003	10/3/2003
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	12/17/1992	4/21/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	12/17/1992	4/21/1997
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/17/1995	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/17/1995	8/24/2000
Inactive	Sentry Insurance Company	300222	Agent - Casualty	8/28/2002	12/26/2002
Inactive	Sentry Insurance Company	300222	Agent - General Lines	3/24/1994	8/15/2000
Inactive	Sentry Insurance Company	300222	Agent - Property	8/28/2002	12/26/2002
Inactive	Sentry Life Insurance Company	301461	Agent - Health	8/28/2002	12/26/2002
Inactive	Sentry Life Insurance Company	301461	Agent - Life	8/28/2002	12/26/2002
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/28/2003	10/2/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/28/2003	10/2/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/6/1995	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/6/1995	7/1/2002
Inactive	Medlink Inc	400721	Agent - Life	4/29/2003	9/1/2011
Inactive	Medlink Inc	400721	Agent - Health	4/29/2003	9/1/2011