DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fauntleroy, Osheena	DOIID	1053180	NAIC NPN	8043154

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2019	12/31/2023
Inactive	Non Resident	Agent	Property	7/8/2021	12/31/2023
Inactive	Non Resident	Agent	Casualty	7/8/2021	12/31/2023
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/11/2019	5/6/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/24/2019	9/15/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/29/2021	2/17/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/29/2021	2/17/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2019	9/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/11/2019	9/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	3/10/2020	9/15/2020
Inactive	National General Insurance Company	300152	Agent - Casualty	7/14/2021	2/17/2022
Inactive	National General Insurance Company	300152	Agent - Property	7/14/2021	2/17/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	9/20/2021	2/15/2022
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	9/20/2021	2/15/2022
Inactive	CWI, LLC	662170	Agent - Casualty	9/20/2021	2/15/2022
Inactive	CWI, LLC	662170	Agent - Property	9/20/2021	2/15/2022
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	9/20/2021	2/15/2022
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	9/20/2021	2/15/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/20/2021	2/15/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	9/20/2021	2/15/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	9/20/2021	2/15/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Property	9/20/2021	2/15/2022