DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fallon, Stephen Francis	DOIID	546697	NAIC NPN	998992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/20/2002		12/31/2025
Active	Non Resident	Agent	Health	3/20/2002		12/31/2025
* 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	10/15/2025	12/31/2025

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	6/28/2019	11/18/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/28/2019	4/19/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/28/2019	4/19/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2014	5/4/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/20/2002
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/20/2002
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/6/2002
Active	UNUM Life Insurance Company of America	300817	Agent - Life	6/6/2002
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/19/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/19/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/26/2019
Active	Fallon Benefits Group Inc	686806	Agent - Health	7/9/2019
Active	Fallon Benefits Group Inc	686806	Agent - Life	7/9/2019
Inactive	Hamilton Dorsey Alston Company, Inc	514097	Agent - Health	10/30/2002	8/25/2003
Inactive	Hamilton Dorsey Alston Company, Inc	514097	Agent - Life	10/30/2002	8/25/2003
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	8/25/2003	2/29/2008
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	8/25/2003	2/29/2008