DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fahrbach, Diane S	DOIID	684238	NAIC NPN	11066724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/18/2011		10/31/2026
Active	Resident	Agent	Health	1/18/2011		10/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/12/2021	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/12/2021	3/31/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2011	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/27/2011	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/27/2011	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/4/2008	10/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/4/2008	10/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/27/2011	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/27/2011	8/20/2012
Active	Standard Insurance Company	300185	Agent - Health	4/3/2024
Active	Standard Insurance Company	300185	Agent - Life	4/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insuramax LLC	400061	Agent - Life	5/10/2011	8/20/2012
Inactive	Insuramax LLC	400061	Agent - Health	5/10/2011	8/20/2012