DEPARTMENT OF INSURANCE
Affiliations
NameFawbush, Michael KenDOIID376491NAIC NPN3102354
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth1/24/19866/12/2012 
InactiveResidentAgentHealth Maintenance Organization4/26/19883/1/2001 
InactiveResidentAgentLife1/24/19866/12/2012 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20016/12/2012 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Life Insurance Company301140Agent - Health11/16/19996/12/2012
InactiveAetna Life Insurance Company301140Agent - Life11/16/19996/12/2012
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization4/26/19886/2/1999
InactiveAnthem Life Insurance Company301209Agent - Health7/22/19996/12/2012
InactiveAnthem Life Insurance Company301209Agent - Life7/22/19996/12/2012
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20016/12/2012
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization5/12/19983/1/2001
InactiveCIGNA Health & Life Insurance Company301783Agent - Health2/24/19944/9/2003
InactiveCIGNA Health & Life Insurance Company301783Agent - Life2/24/19944/9/2003
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20096/12/2012
InactiveDirect General Life Insurance Company301045Agent - Health7/9/19965/23/2003
InactiveDirect General Life Insurance Company301045Agent - Life7/9/19965/23/2003
InactiveGolden Rule Insurance Company301943Agent - Health9/25/198611/12/1998
InactiveGolden Rule Insurance Company301943Agent - Life9/25/198611/12/1998
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20016/12/2012
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization7/21/19993/1/2001
InactiveHumana Insurance Company301104Agent - Health7/21/19996/12/2012
InactiveHumana Insurance Company301104Agent - Life7/21/19996/12/2012
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/17/19893/14/1997
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/17/19893/14/1997
InactiveKanawha Insurance Company300127Agent - Health4/11/20086/12/2012
InactiveKanawha Insurance Company300127Agent - Life4/11/20086/12/2012
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health10/17/19905/1/2012
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life10/17/19905/1/2012
InactiveNational Guardian Life Insurance Company300596Agent - Health11/12/19913/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life11/12/19913/31/1999
InactiveNew York Life Insurance Company300431Agent - Health1/24/19865/1/2012
InactiveNew York Life Insurance Company300431Agent - Life1/24/19865/1/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health1/24/19865/1/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/24/19865/1/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/31/20015/1/2012
InactivePaul Revere Life Insurance Company300971Agent - Health1/30/199612/13/2002
InactivePaul Revere Life Insurance Company300971Agent - Life1/30/199612/7/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/6/199512/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/6/199512/30/2009
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health1/25/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life1/25/19953/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life7/20/19996/21/2008
InactiveArison Insurance Services, Inc.401001Agent - Health7/20/19996/21/2008
InactiveDesignated Agent Company Inc.681257Agent - Life6/28/20086/12/2012
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/20086/12/2012
InactiveInsurance One Inc.399840Agent - Life10/21/19915/31/2004
InactiveInsurance One Inc.399840Agent - Health10/21/19915/31/2004
InactiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities3/4/20085/11/2009

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