DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O'Bryan Jr, Frederick M	DOIID	390184	NAIC NPN	7208993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/29/1993	6/3/1996
Inactive	Resident	Agent	Health Maintenance Organization	9/12/1995	6/3/1996
Inactive	Resident	Agent	Life	9/29/1993	6/3/1996
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	9/12/1995	6/3/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/8/1995	6/3/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/8/1995	6/3/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	9/29/1993	4/15/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	9/29/1993	4/15/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/23/1994	6/3/1996
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/23/1994	6/3/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	3/7/1995	6/3/1996
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	3/7/1995	6/3/1996