DEPARTMENT OF INSURANCE

Affiliations

Name	Fiacable, Mark J	DOIID	625767	NAIC NPN	7151239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/13/2006	12/31/2014
Inactive	Non Resident	Agent	Life	2/13/2006	12/31/2014
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	6/28/2006	7/30/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/28/2006	7/30/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/2/2007	12/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/22/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/19/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/19/2009	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/4/2006	8/2/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/4/2006	8/2/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/3/2007	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/3/2007	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/3/2007	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/3/2007	3/22/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/3/2007	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/3/2007	2/23/2012
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	1/23/2009	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	1/23/2009	12/7/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	9/19/2006	12/1/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/9/2009	10/15/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/4/2008	3/21/2011
Inactive	Time Insurance Company	300683	Agent - Health	1/9/2007	12/14/2010
Inactive	Time Insurance Company	300683	Agent - Life	1/9/2007	12/14/2010
Inactive	United American Insurance Company	300910	Agent - Health	12/1/2007	3/3/2009
Inactive	United American Insurance Company	300910	Agent - Life	12/1/2007	3/3/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/9/2009	10/15/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/9/2009	10/15/2012
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/13/2006	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/13/2006	6/11/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stephens-Matthews Marketing, LLC	526938	Agent - Life	3/16/2010	12/31/2014
Inactive	Stephens-Matthews Marketing, LLC	526938	Agent - Health	3/16/2010	3/22/2013