DEPARTMENT OF INSURANCE
Affiliations
NameAdams, Fred MichaelDOIID340891NAIC NPN7187429
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/19/198712/11/2002 
InactiveResidentAgentGeneral Lines3/2/19938/15/2000 
InactiveResidentAgentCasualty8/15/200012/22/2003 
InactiveResidentAgentHealth10/19/198712/11/2002 
InactiveResidentAgentProperty8/15/200012/22/2003 
InactiveResidentAgentAssessment Chapter 2993/9/199912/1/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/2/199912/11/2002
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/2/199912/11/2002
InactiveAmerican Family Home Insurance Company301817Agent - Casualty8/15/200012/11/2002
InactiveAmerican Family Home Insurance Company301817Agent - General Lines4/9/19978/15/2000
InactiveAmerican Family Home Insurance Company301817Agent - Property8/15/200012/11/2002
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/20/199511/18/1996
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/20/199511/18/1996
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/15/200012/11/2002
InactiveAmerican Modern Home Insurance Company300791Agent - General Lines12/28/19958/15/2000
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/15/200012/11/2002
InactiveBankers Life and Casualty Company300701Agent - Health12/15/19953/31/1997
InactiveBankers Life and Casualty Company300701Agent - Life12/15/19953/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Health5/26/19943/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life5/26/19943/31/1997
InactiveConseco Insurance Company301202Agent - Health6/23/19933/1/1999
InactiveConseco Insurance Company301202Agent - Life6/23/19933/1/1999
InactiveCrown Life Insurance Company300151Agent - Health9/3/19973/31/1999
InactiveCrown Life Insurance Company300151Agent - Life9/3/19973/31/1999
InactiveFirst Mutual Insurance Company301258Agent - Assessment Chapter 2993/9/199912/1/2000
InactiveGolden Rule Insurance Company301943Agent - Health1/19/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life1/19/19953/31/1997
InactiveKentucky National Insurance Company301625Agent - Casualty8/15/200012/22/2003
InactiveKentucky National Insurance Company301625Agent - General Lines4/17/19988/15/2000
InactiveKentucky National Insurance Company301625Agent - Property8/15/200012/22/2003
InactiveLifeUSA Insurance Company300386Agent - Health6/2/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life6/2/19998/2/2002
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/15/200012/11/2002
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines2/2/19998/15/2000
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/15/200012/11/2002
InactiveNew Hampshire Insurance Company301670Agent - Casualty8/15/200012/11/2002
InactiveNew Hampshire Insurance Company301670Agent - General Lines2/2/19998/15/2000
InactiveNew Hampshire Insurance Company301670Agent - Property8/15/200012/11/2002
InactivePioneer Life Insurance Company300110Agent - Health3/20/200010/23/2002
InactivePioneer Life Insurance Company300110Agent - Life3/20/200010/23/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/7/19988/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/7/19988/24/2000
InactiveRealm National Insurance Company301315Agent - General Lines3/30/19983/31/2000
InactiveTime Insurance Company300683Agent - Health10/19/19873/31/1997
InactiveTime Insurance Company300683Agent - Life10/19/19873/31/1997
InactiveTransamerica Life Insurance Company300571Agent - Health9/20/199410/17/2000
InactiveTransamerica Life Insurance Company300571Agent - Life9/20/199410/17/2000
InactiveTransport Insurance Company301683Agent - General Lines3/2/19933/31/1996
InactiveUnited Home Life Insurance Company300421Agent - Health4/12/199512/28/1998
InactiveUnited Home Life Insurance Company300421Agent - Life4/12/199512/28/1998
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life6/22/199312/30/1998
InactiveWestern Surety Company300283Agent - Casualty8/15/200010/29/2001
InactiveWestern Surety Company300283Agent - General Lines5/21/19988/15/2000
InactiveZurich American Life Insurance Company300216Agent - Life8/30/199411/18/1998
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMountain Valley Insurance of Hazard, Inc.398965Agent - General Lines5/15/19988/15/2000
InactiveMountain Valley Insurance of Hazard, Inc.398965Agent - Property8/15/20003/3/2003
InactiveMountain Valley Insurance of Hazard, Inc.398965Agent - Casualty8/15/20003/3/2003
DeniedPremier Insurance Managers Inc.400412Agent - Life  
DeniedPremier Insurance Managers Inc.400412Agent - Health  
InactiveWorld Marketing Alliance Inc.398156Agent - Life7/1/199712/11/2002
InactiveWorld Marketing Alliance Inc.398156Agent - Health7/1/199712/11/2002

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