DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

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	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