DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Faust, Bror Kenneth	DOIID	353694	NAIC NPN	532180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	2/1/1994	9/27/1999
Inactive	Resident	Agent	Life	5/3/2002	7/1/2008
Inactive	Resident	Agent	Health	3/17/1994	9/27/1999
* 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	American Memorial Life Insurance Company	301445	Agent - Life	5/3/2002	2/7/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/1/1994	9/27/1999
Inactive	Humana Insurance Company	300118	Agent - Health	3/17/1994	9/27/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	2/28/2005	2/7/2007