DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carmichael, Fanchon Louise	DOIID	362287	NAIC NPN	247431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/14/2003	11/30/2007
Inactive	Non Resident	Agent	Life	12/10/1998	11/30/2007
Inactive	Non Resident	Agent	Casualty	4/14/2003	11/30/2007
Inactive	Non Resident	Agent	Health	12/10/1998	11/30/2007
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/8/2006	4/7/2007
Inactive	ACE American Insurance Company	300625	Agent - Property	8/8/2006	4/7/2007
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	9/20/2004	7/13/2007
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	9/20/2004	7/13/2007
Inactive	American Security Insurance Company	300901	Agent - Casualty	5/8/2001	4/18/2002
Inactive	American Security Insurance Company	300901	Agent - Property	5/8/2001	4/18/2002
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	3/25/2003	4/27/2007
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	3/25/2003	4/27/2007
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	5/15/2003	4/27/2007
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	5/15/2003	4/27/2007
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	5/1/2003	9/20/2007
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	5/1/2003	9/20/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/11/2005	11/30/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/10/1998	11/4/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/10/1998	11/4/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	4/26/2004	4/9/2007
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	4/26/2004	4/9/2007
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	2/27/2004	4/9/2007
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	2/27/2004	4/9/2007