DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fagan, Jason	DOIID	945189	NAIC NPN	15471577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/16/2017	4/30/2024
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/3/2021	4/30/2024
Inactive	American United Life Insurance Company	300498	Agent - Life	6/9/2022	4/30/2024
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	3/12/2019	7/13/2022
Inactive	Augustar Life Insurance Company	301816	Agent - Life	8/28/2020	7/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fagan Financial Group Inc,	1332630	Agent - Life	4/1/2024	4/30/2024
Inactive	TBS Agency, Inc.	502294	Agent - Life	3/1/2022	4/30/2024