DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gaubatz, Andrew Frederick	DOIID	663925	NAIC NPN	9173625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2014		11/30/2026
Inactive	Non Resident	Agent	Life	9/13/2007	11/30/2010
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/8/2015	1/5/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/8/2015	1/5/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/25/2008	11/30/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2014	12/5/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/8/2015	1/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2014	12/5/2014