DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Premier Financial Group LLC	DOIID	653301	NAIC NPN	9161315

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/20/2007	3/31/2011
Inactive	Non Resident	Agent	Health	6/20/2007	3/31/2011
* 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	Time Insurance Company	300683	Agent - Health	8/30/2007	8/18/2008
Inactive	Time Insurance Company	300683	Agent - Life	8/30/2007	8/18/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fuchs, Samuel Joens	568589	Agent - Health	6/20/2007	3/31/2009
Inactive	Fuchs, Samuel Joens	568589	Agent - Life	6/20/2007	3/31/2009
Inactive	Will, Brian S	511843	Agent - Health	6/20/2007	3/31/2011
Inactive	Will, Brian S	511843	Agent - Life	6/20/2007	3/31/2011