DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fallon Benefits Group Inc	DOIID	686806	NAIC NPN	9306989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/9/2019		3/31/2026
Active	Non Resident	Agent	Health	7/9/2019		3/31/2026
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/6/2019	4/19/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/6/2019	4/19/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/6/2019	4/19/2020
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	8/14/2019
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	7/19/2019
Active	Principal Life Insurance Company	300129	Agent - Health	6/25/2024
Active	Principal Life Insurance Company	300129	Agent - Life	6/25/2024
Active	United World Life Insurance Company	300532	Agent - Health	7/19/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/19/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/19/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fallon, Stephen Francis	546697	Agent - Health	7/9/2019
Active	Fallon, Stephen Francis	546697	Agent - Life	7/9/2019
Denied	Layman, Jeffrey Kepler	679003	Agent - Health
Denied	Layman, Jeffrey Kepler	679003	Agent - Life