DEPARTMENT OF INSURANCE
Affiliations
NameFidelity Employer Ins Services IncDOIID653192NAIC NPN8210273
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife4/1/20099/23/2019 
InactiveNon ResidentAgentHealth4/1/20099/23/2019 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBeasley, Andrew 869122Agent - Health4/3/20152/10/2016
InactiveBeasley, Andrew 869122Agent - Life4/3/20152/10/2016
InactiveBrown, Brian J 703613Agent - Health11/9/20093/21/2011
InactiveBrown, Brian J 703613Agent - Life11/9/20093/21/2011
InactiveCasey, Jason W 655847Agent - Health11/11/20099/3/2010
InactiveCasey, Jason W 655847Agent - Life11/11/20099/3/2010
InactiveGustafson, Gary D 650803Agent - Health10/6/200910/2/2012
InactiveGustafson, Gary D 650803Agent - Life10/6/200910/2/2012
InactiveHancock, Joni Marie 712765Agent - Health11/11/20091/5/2011
InactiveHancock, Joni Marie 712765Agent - Life11/11/20091/5/2011
InactiveHannan, Cynthia 807741Agent - Health2/20/20142/8/2018
InactiveHannan, Cynthia 807741Agent - Life2/20/20142/8/2018
InactiveHarty, Brian 651313Agent - Health11/11/20097/31/2013
InactiveHarty, Brian 651313Agent - Life11/11/20097/31/2013
InactiveJoss, Jonathan Edward 706177Agent - Health10/6/20091/31/2017
InactiveJoss, Jonathan Edward 706177Agent - Life10/6/20091/31/2017
InactiveKennedy, Robert H 809403Agent - Health2/20/20149/23/2019
InactiveKennedy, Robert H 809403Agent - Life2/20/20149/23/2019
InactiveKimler, Bradford James 650105Agent - Health4/1/20096/17/2016
InactiveKimler, Bradford James 650105Agent - Life4/1/20096/17/2016
InactiveKrinsky, Ross Mark 786200Agent - Health2/20/20149/23/2019
InactiveKrinsky, Ross Mark 786200Agent - Life2/20/20149/23/2019
InactiveMachera, Rachel R 660553Agent - Health11/11/20099/23/2019
InactiveMachera, Rachel R 660553Agent - Life11/11/20099/23/2019
InactiveMartinek, Eric N 702208Agent - Health10/6/20091/5/2010
InactiveMartinek, Eric N 702208Agent - Life10/6/20091/5/2010
InactiveNeville, Laura J 650276Agent - Health11/11/20093/19/2013
InactiveNeville, Laura J 650276Agent - Life11/11/20093/19/2013
InactivePatel, Sunit R 649182Agent - Health10/6/20094/24/2017
InactivePatel, Sunit R 649182Agent - Life10/6/20094/24/2017
InactiveStavisky, Adam Gordon 657989Agent - Health11/11/20092/28/2018
InactiveStavisky, Adam Gordon 657989Agent - Life11/11/20092/28/2018
InactiveWeaver, Pearce R 707853Agent - Health11/11/20099/23/2019
InactiveWeaver, Pearce R 707853Agent - Life11/11/20099/23/2019

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