PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFountain, Christopher ThomasDOIID860397NAIC NPN17279737
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth11/11/201412/31/2017 
InactiveNon ResidentAgentCasualty11/11/201412/31/2017 
InactiveNon ResidentAgentLife11/11/201412/31/2017 
InactiveNon ResidentAgentProperty11/11/201412/31/2017 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/1/20152/15/2017
InactiveMedical Protective Company (The)301207Agent - Casualty11/20/20142/10/2017
InactiveMedical Protective Company (The)301207Agent - Property11/20/20142/10/2017
InactivePrincipal Life Insurance Company300129Agent - Health5/29/201512/31/2017
InactivePrincipal Life Insurance Company300129Agent - Life5/29/201512/31/2017
InactivePrincipal National Life Insurance Company301926Agent - Life6/5/201512/31/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTreloar & Heisel, Inc.516754Agent - Casualty11/20/20142/10/2017
InactiveTreloar & Heisel, Inc.516754Agent - Health5/29/20152/23/2017
InactiveTreloar & Heisel, Inc.516754Agent - Property11/20/20142/10/2017
InactiveTreloar & Heisel, Inc.516754Agent - Life5/29/20152/23/2017

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