DEPARTMENT OF INSURANCE

Affiliations

Name	Fairchild Marketing Inc. DBA : Benefit Planners Ins	DOIID	399211	NAIC NPN	7221491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	11/30/1992	3/1/2001
Inactive	Resident	Agent	Life	8/26/1992	1/16/2002
Inactive	Resident	Agent	Health	8/26/1992	2/23/2004
* 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 Heritage Life Insurance Company	300272	Agent - Health	8/26/1992	3/31/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/26/1992	3/31/1997
Inactive	American United Life Insurance Company	300498	Agent - Health	11/26/2003	2/23/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/7/1993	7/21/1998
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/7/1993	7/21/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	2/23/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/30/1992	3/1/2001
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	10/21/1996	1/4/1999
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	3/25/1993	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	3/25/1993	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	8/19/1994	7/23/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	8/19/1994	7/23/1998
Inactive	General American Life Insurance Company	300280	Agent - Health	11/16/1992	8/25/1997
Inactive	General American Life Insurance Company	300280	Agent - Life	11/16/1992	8/25/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/7/1992	5/5/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/7/1992	5/5/1997
Inactive	Humana Insurance Company	301104	Agent - Health	9/17/1992	12/19/1997
Inactive	Humana Insurance Company	301104	Agent - Life	9/17/1992	12/19/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/31/1992	4/21/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/3/1992	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/3/1992	3/31/1997
Inactive	Lincoln Life & Annuity Company of New York	300636	Agent - Health	11/10/1992	3/31/1997
Inactive	Lincoln Life & Annuity Company of New York	300636	Agent - Life	11/10/1992	3/31/1997
Denied	MML Bay State Life Insurance Company	301198	Agent - Health
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	11/18/1992	1/16/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/24/1996	8/18/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/14/1992	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/14/1992	5/20/1999
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/16/1996	6/3/1999
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/16/1996	6/3/1999
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	11/1/1996	12/31/1998
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	11/1/1996	12/31/1998
Inactive	SeeChange Health Insurance Company	301115	Agent - Health	9/11/1992	3/31/1997
Inactive	SeeChange Health Insurance Company	301115	Agent - Life	9/11/1992	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Health	10/15/1992	6/11/1999
Inactive	Union Bankers Insurance Company	301769	Agent - Life	10/15/1992	6/11/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fairchild, Douglas D	358082	Agent - Health	6/28/1990	7/7/1998
Inactive	Fairchild, Douglas D	358082	Agent - Life	6/28/1990	7/7/1998
Inactive	Smith, Donna Kay	374830	Agent - Health	1/15/1993	12/11/2002
Inactive	Smith, Donna Kay	374830	Agent - Life	1/15/1993	1/16/2002
Inactive	Walker, Douglas Payton	365179	Agent - Health	3/22/1993	12/13/1997
Inactive	Walker, Douglas Payton	365179	Agent - Life	3/22/1993	12/13/1997
Inactive	West Kentucky Group Benefits	401049	Agent - Health	10/12/1992	12/31/2001
Inactive	West Kentucky Group Benefits	401049	Agent - Life	10/12/1992	12/31/2001