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DEPARTMENT OF INSURANCE
Affiliations
Name
Adams, Fred Michael
DOIID
340891
NAIC NPN
7187429
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
10/19/1987
12/11/2002
Inactive
Resident
Agent
General Lines
3/2/1993
8/15/2000
Inactive
Resident
Agent
Casualty
8/15/2000
12/22/2003
Inactive
Resident
Agent
Health
10/19/1987
12/11/2002
Inactive
Resident
Agent
Property
8/15/2000
12/22/2003
Inactive
Resident
Agent
Assessment Chapter 299
3/9/1999
12/1/2000
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
6/2/1999
12/11/2002
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
6/2/1999
12/11/2002
Inactive
American Family Home Insurance Company
301817
Agent - Casualty
8/15/2000
12/11/2002
Inactive
American Family Home Insurance Company
301817
Agent - General Lines
4/9/1997
8/15/2000
Inactive
American Family Home Insurance Company
301817
Agent - Property
8/15/2000
12/11/2002
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
3/20/1995
11/18/1996
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
3/20/1995
11/18/1996
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
8/15/2000
12/11/2002
Inactive
American Modern Home Insurance Company
300791
Agent - General Lines
12/28/1995
8/15/2000
Inactive
American Modern Home Insurance Company
300791
Agent - Property
8/15/2000
12/11/2002
Inactive
Bankers Life and Casualty Company
300701
Agent - Health
12/15/1995
3/31/1997
Inactive
Bankers Life and Casualty Company
300701
Agent - Life
12/15/1995
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
5/26/1994
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
5/26/1994
3/31/1997
Inactive
Conseco Insurance Company
301202
Agent - Health
6/23/1993
3/1/1999
Inactive
Conseco Insurance Company
301202
Agent - Life
6/23/1993
3/1/1999
Inactive
Crown Life Insurance Company
300151
Agent - Health
9/3/1997
3/31/1999
Inactive
Crown Life Insurance Company
300151
Agent - Life
9/3/1997
3/31/1999
Inactive
First Mutual Insurance Company
301258
Agent - Assessment Chapter 299
3/9/1999
12/1/2000
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/19/1995
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/19/1995
3/31/1997
Inactive
Kentucky National Insurance Company
301625
Agent - Casualty
8/15/2000
12/22/2003
Inactive
Kentucky National Insurance Company
301625
Agent - General Lines
4/17/1998
8/15/2000
Inactive
Kentucky National Insurance Company
301625
Agent - Property
8/15/2000
12/22/2003
Inactive
LifeUSA Insurance Company
300386
Agent - Health
6/2/1999
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
6/2/1999
8/2/2002
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Casualty
8/15/2000
12/11/2002
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - General Lines
2/2/1999
8/15/2000
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Property
8/15/2000
12/11/2002
Inactive
New Hampshire Insurance Company
301670
Agent - Casualty
8/15/2000
12/11/2002
Inactive
New Hampshire Insurance Company
301670
Agent - General Lines
2/2/1999
8/15/2000
Inactive
New Hampshire Insurance Company
301670
Agent - Property
8/15/2000
12/11/2002
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
3/20/2000
10/23/2002
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
3/20/2000
10/23/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
7/7/1998
8/24/2000
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
7/7/1998
8/24/2000
Inactive
Realm National Insurance Company
301315
Agent - General Lines
3/30/1998
3/31/2000
Inactive
Time Insurance Company
300683
Agent - Health
10/19/1987
3/31/1997
Inactive
Time Insurance Company
300683
Agent - Life
10/19/1987
3/31/1997
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
9/20/1994
10/17/2000
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
9/20/1994
10/17/2000
Inactive
Transport Insurance Company
301683
Agent - General Lines
3/2/1993
3/31/1996
Inactive
United Home Life Insurance Company
300421
Agent - Health
4/12/1995
12/28/1998
Inactive
United Home Life Insurance Company
300421
Agent - Life
4/12/1995
12/28/1998
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
6/22/1993
12/30/1998
Inactive
Western Surety Company
300283
Agent - Casualty
8/15/2000
10/29/2001
Inactive
Western Surety Company
300283
Agent - General Lines
5/21/1998
8/15/2000
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
8/30/1994
11/18/1998
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Mountain Valley Insurance of Hazard, Inc.
398965
Agent - General Lines
5/15/1998
8/15/2000
Inactive
Mountain Valley Insurance of Hazard, Inc.
398965
Agent - Property
8/15/2000
3/3/2003
Inactive
Mountain Valley Insurance of Hazard, Inc.
398965
Agent - Casualty
8/15/2000
3/3/2003
Denied
Premier Insurance Managers Inc.
400412
Agent - Life
Denied
Premier Insurance Managers Inc.
400412
Agent - Health
Inactive
World Marketing Alliance Inc.
398156
Agent - Life
7/1/1997
12/11/2002
Inactive
World Marketing Alliance Inc.
398156
Agent - Health
7/1/1997
12/11/2002
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