DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fazel, Dale Allen	DOIID	381392	NAIC NPN	7205162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	10/31/2012
Inactive	Resident	Agent	Mortgage Redemption	10/29/1998	8/7/2000
Inactive	Resident	Agent	Debtors Life	9/20/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	3/23/1994	8/7/2000
* 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	Cincinnati Life Insurance Company (The)	300601	Agent - Limited Line Credit	8/7/2000	6/19/2007
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Mortgage Redemption	10/29/1998	8/7/2000
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	5/4/1994	4/8/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/7/1995	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	10/31/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/1/1994	10/29/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/9/1998	8/23/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	9/20/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	10/31/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	3/23/1994	9/8/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank of Ohio County	398744	Agent - Limited Line Credit	5/2/2002	10/31/2012
Inactive	Morgantown Bank And Trust Co.	400292	Agent - Credit Life & Health	5/9/1994	8/23/1999