DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fahey, Martha J	DOIID	386807	NAIC NPN	7207569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/24/2017	7/1/2019
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/10/2017	2/8/2019
Inactive	Forethought Life Insurance Company	301407	Agent - Life	7/19/1994	12/1/2000
Inactive	United Liberty Life Insurance Company	301746	Agent - Life	6/8/1992	7/14/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bosse Funeral Home Inc	400021	Agent - Life	4/6/1998	12/1/2000
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	6/29/1995	7/14/1996