DEPARTMENT OF INSURANCE

Affiliations

Name	Fischer, Carl Harold	DOIID	557214	NAIC NPN	6985561

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	10/9/2012	8/31/2015
Inactive	Non Resident	Agent	Health	9/23/2002	8/31/2009
Inactive	Non Resident	Agent	Life	9/23/2002	8/31/2009
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/5/2002	12/28/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/5/2002	12/28/2006
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	12/11/2006	8/31/2009
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	12/11/2006	8/31/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/23/2002	1/12/2005
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/23/2002	1/12/2005
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/31/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2009	8/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2007	8/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2007	8/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2007	8/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2007	8/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/11/2007	8/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/11/2007	8/31/2009
Inactive	MedAmerica Insurance Company	301568	Agent - Health	5/27/2003	1/18/2005
Inactive	Pan-American Assurance Company	301533	Agent - Health	7/31/2003	7/9/2004
Inactive	Pan-American Assurance Company	301533	Agent - Life	7/31/2003	7/9/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	7/31/2003	7/9/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	7/31/2003	7/9/2004
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	2/28/2003	8/29/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	2/28/2003	8/29/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	12/13/2002	11/3/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	12/13/2002	11/3/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/4/2003	12/6/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	4/4/2003	12/6/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/16/2002	11/3/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/16/2002	11/3/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/14/2003	1/9/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/14/2003	1/9/2004
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/8/2006	5/8/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	11/8/2006	5/8/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adult Care Plans/RX America Agency, Inc.	583696	Agent - Health	4/20/2005	8/31/2009
Inactive	Adult Care Plans/RX America Agency, Inc.	583696	Agent - Life	4/20/2005	8/31/2009
Inactive	CHCS Services, Inc	397791	Administrator - Not Applicable	11/20/2012	4/7/2014
Inactive	Specialty Planners, Inc.	400810	Agent - Health	2/27/2003	2/2/2004
Inactive	Specialty Planners, Inc.	400810	Agent - Life	2/27/2003	2/2/2004