DEPARTMENT OF INSURANCE

Affiliations

Name	Frisbey, Ralph Michael	DOIID	383887	NAIC NPN	234557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	1/13/2010	4/17/2013
Inactive	Resident	Agent	Casualty	1/13/2010	4/17/2013
Inactive	Non Resident	Agent	Life	10/5/2013	11/30/2015
Inactive	Non Resident	Agent	Health	10/5/2013	11/30/2015
* 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	American Continental Insurance Company	643130	Agent - Health	12/26/2007	4/3/2009
Inactive	American Continental Insurance Company	643130	Agent - Life	12/26/2007	4/3/2009
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/23/2011	4/17/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/5/2013	7/28/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/5/2013	7/28/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/18/2011	4/17/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/18/2011	4/17/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Life	4/7/2014	1/14/2016
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	3/11/2004	4/1/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	3/11/2004	4/1/2006
Inactive	Augustar Life Insurance Company	301816	Agent - Health	3/11/2004	4/1/2006
Inactive	Augustar Life Insurance Company	301816	Agent - Life	3/11/2004	4/1/2006
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/11/2000	1/16/2001
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/11/2000	1/16/2001
Inactive	Columbian Life Insurance Company	300810	Agent - Life	10/29/2012	4/17/2013
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/21/2005	4/3/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/19/2014	11/30/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/18/2010	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/18/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/30/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/30/2010	12/7/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/3/2003	3/14/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/3/2003	3/14/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/3/2003	3/14/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/3/2003	3/14/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/3/2003	3/14/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/3/2003	3/14/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/3/2003	3/14/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/3/2003	3/14/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/3/2003	3/14/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/3/2003	3/14/2006
Inactive	Homesite Insurance Company	301139	Agent - Casualty	9/30/2010	4/17/2013
Inactive	Homesite Insurance Company	301139	Agent - Property	9/30/2010	4/17/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/13/2010	12/7/2010
Inactive	Humana Insurance Company	301104	Agent - Health	8/13/2010	12/7/2010
Inactive	Humana Insurance Company	301104	Agent - Life	8/13/2010	12/7/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/13/2010	12/7/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/13/2010	12/7/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/9/2009	11/26/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/9/2009	11/26/2012
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	7/5/2012	4/17/2013
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	7/5/2012	4/17/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	3/21/2003	4/3/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Property	3/21/2003	4/3/2009
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	1/30/2008	4/3/2009
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	1/30/2008	4/3/2009
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	4/10/2007	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	4/10/2007	10/2/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/5/2010	5/3/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/5/2010	5/3/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/20/2010	12/26/2012
Inactive	National Western Life Insurance Company	301515	Agent - Life	7/13/2014	9/29/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	12/7/2012	4/17/2013
Inactive	Oxford Life Insurance Company	301079	Agent - Health	3/30/2007	4/3/2009
Inactive	Oxford Life Insurance Company	301079	Agent - Life	3/30/2007	4/3/2009
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	8/28/2000	5/1/2007
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	8/28/2000	5/1/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/20/2010	4/17/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/20/2010	4/17/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/16/1996	3/20/1998
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/16/1996	3/20/1998
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/23/2010	4/17/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/23/2010	4/17/2013
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/12/2008	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/12/2008	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/18/2010	4/17/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/18/2010	4/17/2013
Inactive	Trinity Life Insurance Company	552459	Agent - Life	4/5/2007	4/3/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/3/2003	3/14/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/3/2003	3/14/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/20/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/20/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/18/2011	4/17/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/18/2011	4/17/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/18/2011	4/17/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/18/2011	4/17/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	8/22/2006	4/3/2009
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	8/22/2006	4/3/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	11/30/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/19/2014	11/30/2015
Inactive	Frisbey's Financial Services, Inc.	586836	Agent - Life	3/24/2004	4/3/2009
Inactive	Frisbey's Financial Services, Inc.	586836	Agent - Health	3/24/2004	4/3/2009
Inactive	Frisbey's Financial Services, Inc.	586836	Agent - Casualty	3/24/2004	4/3/2009
Inactive	Frisbey's Financial Services, Inc.	586836	Agent - Property	3/24/2004	4/3/2009
Inactive	Harbor Insurance Agency, LLC	586811	Agent - Casualty	1/19/2005	1/26/2007
Inactive	Harbor Insurance Agency, LLC	586811	Agent - Property	1/19/2005	1/26/2007
Inactive	Lake Barkley Insurance Agency Inc.	398982	Agent - Casualty	12/29/2003	2/6/2006
Inactive	Lake Barkley Insurance Agency Inc.	398982	Agent - Property	12/29/2003	2/6/2006
Inactive	United Financial Services Inc	400566	Agent - Life	6/3/2010	4/17/2013
Inactive	United Financial Services Inc	400566	Agent - Health	6/3/2010	4/17/2013
Inactive	United Financial Services Inc	400566	Agent - Casualty	8/24/2010	4/17/2013
Inactive	United Financial Services Inc	400566	Agent - Property	8/24/2010	4/17/2013