DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Anthony D	DOIID	1039319	NAIC NPN	6761557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	5/6/2019		2/28/2026
Pending Replacement	Non Resident	Agent	Life	5/6/2019		2/28/2026
Pending Replacement	Non Resident	Agent	Property	5/6/2019		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Allied Insurance Company of America	793586	Agent - Casualty	2/6/2022
Pending Replacement	Allied Insurance Company of America	793586	Agent - Property	2/6/2022
Pending Replacement	American Economy Insurance Company	300315	Agent - Casualty	3/5/2020
Pending Replacement	American Economy Insurance Company	300315	Agent - Property	3/5/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/11/2021	7/7/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/9/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/9/2020	12/20/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/5/2021	12/27/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/5/2021	12/27/2023
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/9/2025
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/9/2025
Pending Replacement	SAFECO Insurance Company of America	300159	Agent - Casualty	3/5/2020
Pending Replacement	SAFECO Insurance Company of America	300159	Agent - Property	3/5/2020
Pending Replacement	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/5/2020
Pending Replacement	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/5/2020
Pending Replacement	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/4/2021
Pending Replacement	Selective Insurance Company of the Southeast	300381	Agent - Property	8/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Affordable American INS	1040584	Agent - Casualty	12/5/2019
Inactive	Affordable American INS	1040584	Agent - Life	12/5/2019	7/7/2022
Pending Replacement	Affordable American INS	1040584	Agent - Property	12/5/2019