DEPARTMENT OF INSURANCE
Affiliations
NameAgents & Brokers Mass-Marketing Inc.DOIID399560NAIC NPN7221758
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/6/19921/9/2004 
InactiveResidentAgentHealth10/6/19921/9/2004 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health2/1/19971/9/2004
InactiveAmerican Heritage Life Insurance Company300272Agent - Life2/1/19971/9/2004
InactiveBoston Mutual Life Insurance Company300143Agent - Health2/25/19971/9/2004
InactiveBoston Mutual Life Insurance Company300143Agent - Life2/25/19971/9/2004
InactiveChase Insurance Life Company301287Agent - Life10/30/19927/11/1997
InactiveColonial Life and Accident Insurance Company300846Agent - Health11/1/19967/18/2001
InactiveColonial Life and Accident Insurance Company300846Agent - Life11/1/19967/18/2001
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/19981/9/2004
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/19981/9/2004
InactiveNational Guardian Life Insurance Company300596Agent - Health11/6/19923/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life11/6/19923/31/1999
InactiveProfessional Insurance Company301281Agent - Health10/6/19921/9/2004
InactiveProfessional Insurance Company301281Agent - Life10/6/19921/9/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFowler, Fonda Lee 372524Agent - Health10/6/19927/1/1996
InactiveFowler, Fonda Lee 372524Agent - Life10/6/19927/1/1996
InactiveHennessey, Alan Wayne 313289Agent - Health10/6/199212/30/2003
InactiveHennessey, Alan Wayne 313289Agent - Life10/6/199212/30/2003
InactiveSmith, Brent Larry 339767Agent - Health10/6/199212/30/2003
InactiveSmith, Brent Larry 339767Agent - Life10/6/199212/30/2003
InactiveSmith, Marvin 366231Agent - Health10/6/199212/30/2003
InactiveSmith, Marvin 366231Agent - Life10/6/199212/30/2003

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