DEPARTMENT OF INSURANCE

Affiliations

Name	Fallah, Francis Feyalay	DOIID	685933	NAIC NPN	8434180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/25/2023		3/31/2026
Active	Non Resident	Agent	Casualty	4/25/2023		3/31/2026
Inactive	Non Resident	Agent	Health	6/10/2016	3/31/2020
Inactive	Non Resident	Agent	Life	6/10/2016	3/31/2020
* 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	01/15/2026	03/31/2026

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	9/10/2019	2/14/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	2/14/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/5/2014	3/31/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/6/2011	12/9/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/6/2011	12/9/2014
Inactive	CMFG Life Insurance Company	300929	Agent - Health	6/15/2016	6/10/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	6/15/2016	6/10/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/19/2015	6/10/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/19/2015	6/10/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/8/2014	5/6/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/5/2014	3/31/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	12/5/2014	3/31/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/8/2014	5/6/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/11/2008	9/22/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/11/2008	9/22/2009
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/8/2014	5/6/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/8/2014	5/6/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/8/2014	5/6/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/8/2014	5/6/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2014	5/6/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/8/2014	5/6/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/5/2014	5/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/8/2014	5/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/8/2014	5/6/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	5/2/2023	6/5/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	5/2/2023	6/5/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	2/14/2020
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/9/2008	7/8/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/9/2008	7/8/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/9/2008	7/8/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/9/2008	7/8/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/4/2019	1/9/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/9/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/4/2019	1/9/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/4/2019	1/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	5/3/2023	6/5/2023
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	5/3/2023	6/5/2023
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	7/31/2019	12/16/2019