DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fn Life Inc	DOIID	628748	NAIC NPN	7764380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/22/2011	3/31/2013
Inactive	Non Resident	Agent	Life	9/1/2016	3/31/2021
* 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	Forethought Life Insurance Company	301407	Agent - Life	8/5/2019	3/31/2021
Inactive	State Life Insurance Company	301497	Agent - Life	9/1/2016	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wood, William Morison	591805	Agent - Health	12/22/2011	3/31/2013
Inactive	Wood, William Morison	591805	Agent - Life	9/1/2016	3/31/2021