DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Portugal, Fawn	DOIID	614183	NAIC NPN	8204327

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/19/2005	1/31/2008
* 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	American General Life Insurance Company	301585	Agent - Life	9/30/2005	8/2/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/1/2005	1/31/2008
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/7/2007	3/19/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/27/2005	8/15/2006
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	10/4/2005	1/19/2006
Inactive	Health Net Life Insurance Company	620945	Agent - Life	5/30/2007	1/31/2008
Inactive	Liberty Life Insurance Company	301542	Agent - Life	9/26/2005	1/19/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	9/22/2005	12/7/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/23/2005	1/31/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/29/2005	2/1/2006
Inactive		300277	Agent - Life	9/26/2005	1/23/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Life	3/23/2007	1/31/2008
Inactive	SelectQuote Insurance Services	533194	Agent - Life	10/27/2005	2/2/2006