DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fotsue, Antone Silatchom	DOIID	817676	NAIC NPN	16294509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/1/2014	4/30/2015
Inactive	Non Resident	Agent	Health	8/16/2013	4/30/2015
Inactive	Non Resident	Agent	Casualty	4/1/2014	4/30/2015
* 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	9/3/2013	4/30/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/4/2014	4/30/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/4/2014	4/30/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	4/4/2014	4/30/2015
Inactive	LM General Insurance Company	300133	Agent - Property	4/4/2014	4/30/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	4/4/2014	4/30/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	4/4/2014	4/30/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	4/4/2014	4/30/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	4/4/2014	4/30/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/4/2014	4/30/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/4/2014	4/30/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/4/2014	4/30/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/4/2014	4/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	10/2/2013	12/8/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/3/2013	4/30/2015