DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fps Ins Agency LLC	DOIID	806328	NAIC NPN	16895208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/22/2013	12/1/2016
Inactive	Non Resident	Agent	Health	3/22/2013	12/1/2016
* 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	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/14/2015	12/1/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/14/2015	12/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/22/2014	12/1/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skiff, Deborah Lynn	612455	Agent - Health	3/21/2013	9/30/2016
Inactive	Skiff, Deborah Lynn	612455	Agent - Life	3/21/2013	9/30/2016