DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Obermeyer, Fayerene H	DOIID	902923	NAIC NPN	17809962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/4/2016		7/31/2025
Active	Non Resident	Agent	Casualty	1/4/2016		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/6/2016	10/27/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/6/2016	10/27/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/6/2016	10/27/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/6/2016	10/27/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/8/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/8/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/6/2016	10/27/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/6/2016	10/27/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/6/2016	10/27/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/6/2016	10/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Atlas Ins Agcy Inc	523813	Agent - Property	1/11/2016
Active	Atlas Ins Agcy Inc	523813	Agent - Casualty	1/11/2016