DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gaubatz, Andrew Frederick	DOIID	663925	NAIC NPN	9173625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2014		11/30/2026
Inactive	Non Resident	Agent	Life	9/13/2007	11/30/2010
* 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	7/8/2015	1/5/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/8/2015	1/5/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/25/2008	11/30/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2014	12/5/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/8/2015	1/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2014	12/5/2014