DEPARTMENT OF INSURANCE

Affiliations

Name	Nefouse, Anthony C	DOIID	623695	NAIC NPN	3311409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/25/2012	11/30/2025
Active	Non Resident	Agent	Health	7/25/2012	11/30/2025
Active	Non Resident	Agent	Casualty	7/25/2012	11/30/2025
Active	Non Resident	Agent	Life	7/25/2012	11/30/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/31/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/31/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/31/2016	7/6/2022
Active	American General Life Insurance Company	301585	Agent - Health	8/31/2012
Active	American General Life Insurance Company	301585	Agent - Life	8/31/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	8/29/2012
Active	Anthem Life Insurance Company	301209	Agent - Life	8/29/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/22/2013	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/22/2013	10/12/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	12/2/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/27/2015	12/13/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/31/2016	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/27/2015	12/13/2016
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/22/2013
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/22/2013
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/15/2015	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/15/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/27/2015	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	5/27/2015	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Life	7/15/2015	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/15/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/15/2015	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/15/2015	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/27/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/27/2015	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/10/2006	11/30/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/10/2006	11/30/2007
Active	Designated Agent Company Inc.	681257	Agent - Life	8/29/2012
Active	Designated Agent Company Inc.	681257	Agent - Health	8/29/2012
Inactive	Nefouse & Assoc Inc	803517	Agent - Life	2/12/2013	3/31/2023
Inactive	Nefouse & Assoc Inc	803517	Agent - Health	2/12/2013	3/31/2023