DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Michael R Fannin Insurance, Inc.	DOIID	502149	NAIC NPN	7223059

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		3/31/2025
Active	Resident	Agent	Life	12/31/1999		3/31/2025
Active	Resident	Agent	Casualty	8/15/2000		3/31/2025
Active	Resident	Agent	Health	12/31/1999		3/31/2025
Inactive	Resident	Agent	General Lines	12/31/1999	8/15/2000
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/1/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/1/2005	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Life	4/15/2017
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	12/31/1999	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/29/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	12/31/1999	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/31/1999
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/31/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bolen, Hope Jean	611546	Agent - Casualty	1/23/2007	8/20/2007
Inactive	Bolen, Hope Jean	611546	Agent - Property	1/23/2007	8/20/2007
Inactive	Clemons, Beth Ann	367180	Agent - Casualty	1/14/2004	1/23/2007
Inactive	Clemons, Beth Ann	367180	Agent - Property	1/14/2004	1/23/2007
Active	Fannin, Michael Ray	316763	Agent - Casualty	8/15/2000
Inactive	Fannin, Michael Ray	316763	Agent - General Lines	12/31/1999	8/15/2000
Active	Fannin, Michael Ray	316763	Agent - Health	12/31/1999
Active	Fannin, Michael Ray	316763	Agent - Life	12/31/1999
Active	Fannin, Michael Ray	316763	Agent - Property	8/15/2000
Inactive	Mullins, Carol Ann	644950	Agent - Casualty	1/23/2007	8/23/2007
Inactive	Mullins, Carol Ann	644950	Agent - Property	1/23/2007	8/23/2007