DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fong, Carol P	DOIID	839937	NAIC NPN	7899364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/2/2014	3/31/2023
Inactive	Non Resident	Agent	Life	5/2/2014	3/31/2023
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	11/7/2014	5/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/7/2014	5/4/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/7/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/7/2014	5/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/7/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/7/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/7/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/7/2014	5/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/7/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/7/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/7/2014	5/4/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	3/31/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	3/31/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	10/1/2020
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	5/23/2014	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	5/23/2014	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	9/3/2014	3/31/2023
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	9/3/2014	3/31/2023