DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Health	2/26/2015		9/30/2026
Active	Non Resident	Agent	Life	2/26/2015		9/30/2026
* 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
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