DEPARTMENT OF INSURANCE

Affiliations

Name	Fortunato, Chris Michael	DOIID	824612	NAIC NPN	16650121

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/16/2013	3/31/2018
Inactive	Non Resident	Agent	Health	10/16/2013	3/31/2018
* 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	ACE American Insurance Company	300625	Agent - Health	12/3/2016	3/31/2018
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/22/2014	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/22/2014	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/22/2014	3/31/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/18/2013	3/31/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	10/18/2013	3/31/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/21/2017	3/31/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/20/2017	3/16/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/20/2017	3/16/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/28/2015	3/23/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/22/2014	3/31/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	8/22/2014	3/31/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/28/2015	3/23/2016
Inactive	Federal Insurance Company	301144	Agent - Health	12/3/2016	3/31/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/29/2015	1/30/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/29/2015	1/30/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/17/2013	10/21/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/17/2013	10/21/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/28/2015	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/28/2015	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/28/2015	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/28/2015	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/28/2015	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/28/2015	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/28/2015	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/28/2015	3/23/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/28/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/28/2015	11/3/2015
Inactive	Time Insurance Company	300683	Agent - Health	10/25/2013	10/21/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/25/2013	10/21/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/7/2015	10/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/21/2017	3/31/2018