DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fetterolf, Norma	DOIID	870316	NAIC NPN	16889906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/26/2015		9/30/2024
Active	Non Resident	Agent	Health	2/26/2015		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Combined Insurance Company of America	301472	Agent - Health	11/5/2019
Active	Combined Insurance Company of America	301472	Agent - Life	11/5/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/13/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/13/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Health	10/21/2020
Active	ReliaStar Life Insurance Company	301712	Agent - Life	10/21/2020
Active	Starmount Life Insurance Company	628031	Agent - Health	10/13/2023
Active	Trustmark Insurance Company	300317	Agent - Health	10/8/2022
Active	Trustmark Insurance Company	300317	Agent - Life	10/8/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/13/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/13/2023
Active	Unum Insurance Company	301499	Agent - Health	10/13/2023
Active	Unum Insurance Company	301499	Agent - Life	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	10/8/2018
Active	Optavise, LLC	671337	Agent - Health	10/8/2018