DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fox, Richard W	DOIID	598648	NAIC NPN	536832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/6/2016	8/15/2019
Inactive	Non Resident	Agent	Life	9/6/2016	8/15/2019
* 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	Colorado Bankers Life Insurance Company	301845	Agent - Health	12/16/2004	6/30/2007
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	12/16/2004	6/30/2007
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	9/19/2016	8/15/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	9/19/2016	8/15/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/11/2007	6/30/2007
Inactive	Humana Insurance Company	301104	Agent - Life	4/11/2007	6/30/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/11/2007	6/30/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/11/2007	6/30/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/11/2007	6/30/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/11/2007	6/30/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/24/2005	7/16/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/4/2007	6/30/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/4/2007	6/30/2007
Inactive	Time Insurance Company	300683	Agent - Health	5/7/2007	6/30/2007
Inactive	Time Insurance Company	300683	Agent - Life	5/7/2007	6/30/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	9/20/2016	8/15/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	9/20/2016	8/15/2019