DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	American Ins Broker's, LLC	DOIID	812629	NAIC NPN	9685512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/27/2013	12/12/2014
Inactive	Non Resident	Agent	Life	6/27/2013	12/12/2014
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/4/2013	12/12/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/4/2013	12/12/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/4/2013	12/12/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/22/2013	12/12/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/22/2013	12/12/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/22/2013	12/12/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/23/2014	12/12/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/23/2014	12/12/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bastardo, Carlos	702095	Agent - Health	6/27/2013	12/12/2014
Inactive	Bastardo, Carlos	702095	Agent - Life	6/27/2013	12/12/2014