DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fahrbach, Diane S	DOIID	684238	NAIC NPN	11066724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/18/2011		10/31/2024
Active	Resident	Agent	Health	1/18/2011		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	6/12/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2011	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/27/2011	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/27/2011	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/4/2008	10/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/4/2008	10/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/27/2011	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/27/2011	8/20/2012
Active	Standard Insurance Company	300185	Agent - Health	4/3/2024
Active	Standard Insurance Company	300185	Agent - Life	4/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insuramax Inc	400061	Agent - Life	5/10/2011	8/20/2012
Inactive	Insuramax Inc	400061	Agent - Health	5/10/2011	8/20/2012