DEPARTMENT OF INSURANCE

Affiliations

Name	Fangman, Donald Robert	DOIID	373069	NAIC NPN	1892907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	11/22/1983	8/4/2015
Inactive	Resident	Agent	Casualty	8/15/2000	8/4/2015
Inactive	Resident	Agent	General Lines	5/25/1979	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	8/4/2015
Inactive	Resident	Agent	Health	2/8/1984	8/4/2015
* 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	All American Life Insurance Company	300702	Agent - Health	10/27/1999	10/15/2001
Inactive	All American Life Insurance Company	300702	Agent - Life	10/27/1999	10/15/2001
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/20/1999	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/20/1999	11/21/2007
Inactive	Allied Life Insurance Company	301294	Agent - Health	12/30/1997	1/1/2000
Inactive	Allied Life Insurance Company	301294	Agent - Life	12/30/1997	1/1/2000
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	5/13/1997	7/28/1999
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/8/2006	8/4/2015
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	7/7/1981	8/15/2000
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/8/2006	8/4/2015
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	5/13/1997	7/28/1999
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	8/2/2002
Inactive	Assurance Company of America	300432	Agent - General Lines	4/12/1983	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	8/2/2002
Inactive	Aviva Life Insurance Company	301615	Agent - Health	7/17/1986	12/21/2005
Inactive	Aviva Life Insurance Company	301615	Agent - Life	7/17/1986	12/21/2005
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	8/15/2000	8/2/2002
Inactive	Blackboard Insurance Company	301640	Agent - General Lines	4/12/1983	8/15/2000
Inactive	Blackboard Insurance Company	301640	Agent - Property	8/15/2000	8/2/2002
Inactive	Celtic Insurance Company	300877	Agent - Health	2/16/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	2/16/1995	3/31/1997
Inactive	Chase Life and Annuity Company	300145	Agent - Life	11/22/1983	12/11/1996
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	7/21/1992	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	7/21/1992	3/31/1997
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	8/4/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	8/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	6/7/1996	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	1/13/2006
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	1/13/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/21/2000	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/21/2000	12/23/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/14/2004	8/4/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2004	8/4/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/8/1984	11/8/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/8/1984	11/8/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	8/7/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	5/21/1999	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	8/7/2002
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	10/14/1982	7/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/20/2004	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	12/6/2004	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	12/6/2004	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2004	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2004	9/8/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	8/4/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	8/4/2015
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	8/22/1986	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	8/13/1990	12/27/1999
Inactive	Integon National Insurance Company	301600	Agent - General Lines	12/8/1993	11/25/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	9/8/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	11/1/2001
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	5/25/1979	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	11/1/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/20/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/20/1999	8/2/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/18/1993	8/31/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/18/1993	8/31/2007
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	8/2/2002
Inactive	Maryland Casualty Company	301719	Agent - General Lines	4/12/1983	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	8/2/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	8/4/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	8/4/2015
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/3/1998	10/18/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/3/1998	10/18/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	8/2/2002
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	4/12/1983	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	8/2/2002
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/8/2006	8/4/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	8/11/1981	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/8/2006	8/4/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/8/2006	8/4/2015
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	7/7/1981	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/8/2006	8/4/2015
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	8/2/1984	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	Pan-American Assurance Company	301533	Agent - Health	12/23/1996	8/31/1998
Inactive	Pan-American Assurance Company	301533	Agent - Life	12/23/1996	8/31/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	12/23/1996	8/31/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	12/23/1996	8/31/1998
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	8/4/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	8/4/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	8/4/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	8/4/2015
Inactive	Pegasus Insurance Company	301528	Agent - Casualty	8/15/2000	1/13/2006
Inactive	Pegasus Insurance Company	301528	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Pegasus Insurance Company	301528	Agent - Property	8/15/2000	1/13/2006
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	9/8/1995	3/31/2000
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/15/2000	1/13/2006
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/15/2000	1/13/2006
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	12/17/1996	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	12/17/1996	10/23/2002
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004	8/4/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004	8/4/2015
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	7/3/2001	11/26/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	7/3/2001	11/26/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/3/2001	8/4/2015
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/3/2001	8/4/2015
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	7/3/2001	11/26/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	7/3/2001	11/26/2007
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/23/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	7/1/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/23/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	1/1/2000	4/28/2003
Inactive	Time Insurance Company	300683	Agent - Health	5/22/2003	10/28/2005
Inactive	Time Insurance Company	300683	Agent - Life	5/22/2003	10/28/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/17/2001	7/9/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/17/2001	7/9/2007
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	8/15/2000	1/13/2006
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	5/15/1996	8/15/2000
Inactive	WCF Select Insurance Company	301898	Agent - Property	8/15/2000	1/13/2006
Inactive	West American Insurance Company	301112	Agent - Casualty	3/8/2006	8/4/2015
Inactive	West American Insurance Company	301112	Agent - General Lines	7/7/1981	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Property	3/8/2006	8/4/2015
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	11/19/2003
Inactive	Western Surety Company	300283	Agent - General Lines	6/17/1987	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	12/1/1994	8/15/2000

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	6/25/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003
Inactive	Insurance Services Of Northern Ky, Inc.	521545	Agent - Property	1/26/2007	8/4/2015
Inactive	Insurance Services Of Northern Ky, Inc.	521545	Agent - Casualty	1/26/2007	8/4/2015