DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roland J Fischer & Associates	DOIID	550311	NAIC NPN	2100442

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/20/2003	3/31/2010
Inactive	Non Resident	Agent	Health	6/20/2002	3/31/2010
Inactive	Non Resident	Agent	Property	3/20/2003	3/31/2010
Inactive	Non Resident	Agent	Life	6/20/2002	3/31/2010
* 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	Central Mutual Insurance Company	300965	Agent - Casualty	5/15/2003	3/31/2010
Inactive	Central Mutual Insurance Company	300965	Agent - Property	5/15/2003	3/31/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/9/2008	3/31/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/9/2008	3/31/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/9/2008	3/31/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2010
Inactive	Everest National Insurance Company	301319	Agent - Casualty	3/4/2004	11/15/2006
Inactive	Everest National Insurance Company	301319	Agent - Property	3/4/2004	11/15/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/20/2002	3/31/2010
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/2002	3/31/2010
Inactive	Humana Insurance Company	301104	Agent - Life	6/20/2002	3/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2004	3/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2004	3/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/9/2008	3/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/9/2008	3/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/18/2008	3/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/18/2008	3/31/2010
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/11/2005	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/11/2005	6/11/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berlin, Daniel F	357212	Agent - Casualty	5/15/2003	3/31/2010
Inactive	Berlin, Daniel F	357212	Agent - Health	6/20/2002	3/31/2010
Inactive	Berlin, Daniel F	357212	Agent - Life	6/20/2002	3/31/2010
Inactive	Berlin, Daniel F	357212	Agent - Property	5/15/2003	3/31/2010