DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Erlebacher, Adam J	DOIID	918505	NAIC NPN	17816663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/27/2022		6/30/2025
Active	Non Resident	Agent	Life	6/15/2016		6/30/2025
Active	Non Resident	Agent	Health	6/15/2016		6/30/2025
* 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	American General Life Insurance Company	301585	Agent - Health	8/30/2022
Active	American General Life Insurance Company	301585	Agent - Life	8/30/2022
Active	Gerber Life Insurance Company	300529	Agent - Health	11/29/2022
Active	Gerber Life Insurance Company	300529	Agent - Life	11/29/2022
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/22/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/9/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/9/2023
Active	Pacific Life Insurance Company	301848	Agent - Health	10/2/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	10/2/2023
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	10/20/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/27/2023	3/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/27/2023	3/22/2024
Inactive	Vantis Life Insurance Company	572176	Agent - Health	9/12/2016	12/7/2022
Inactive	Vantis Life Insurance Company	572176	Agent - Life	8/16/2016	12/7/2022
Active	Western and Southern Life Insurance Company	301744	Agent - Health	5/12/2022
Active	Western and Southern Life Insurance Company	301744	Agent - Life	5/12/2022
Active	Western-Southern Life Assurance Company	301590	Agent - Health	5/12/2022
Active	Western-Southern Life Assurance Company	301590	Agent - Life	5/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fabric Ins Agency LLC	938009	Agent - Life	11/28/2016	11/15/2022
Inactive	Fabric Ins Agency LLC	938009	Agent - Health	11/28/2016	11/15/2022
Active	Gerber Life Agency LLC	616051	Agent - Life	3/25/2022
Active	Gerber Life Agency LLC	616051	Agent - Health	3/25/2022
Active	Gerber Life Agency LLC	616051	Administrator - Not Applicable	5/16/2022