DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Erlebacher, Adam J	DOIID	918505	NAIC NPN	17816663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Administrator	Not Applicable	4/27/2022		6/30/2025
Pending Replacement	Non Resident	Agent	Health	6/15/2016		6/30/2025
Pending Replacement	Non Resident	Agent	Life	6/15/2016		6/30/2025
* 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
Administrator	04/15/2025	06/30/2025
Agent	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	8/30/2022
Pending Replacement	American General Life Insurance Company	301585	Agent - Life	8/30/2022
Pending Replacement	Gerber Life Insurance Company	300529	Agent - Health	11/29/2022
Pending Replacement	Gerber Life Insurance Company	300529	Agent - Life	11/29/2022
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/22/2024	3/10/2025
Pending Replacement	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/9/2023
Pending Replacement	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/9/2023
Pending Replacement	Pacific Life Insurance Company	301848	Agent - Health	10/2/2023
Pending Replacement	Pacific Life Insurance Company	301848	Agent - Life	10/2/2023
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	10/20/2022	11/26/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/27/2023	3/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/27/2023	3/22/2024
Inactive	Vantis Life Insurance Company	572176	Agent - Health	9/12/2016	12/7/2022
Inactive	Vantis Life Insurance Company	572176	Agent - Life	8/16/2016	12/7/2022
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	5/12/2022	7/11/2025
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	5/12/2022	7/11/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/12/2022	7/11/2025
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/12/2022	7/11/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fabric Ins Agency LLC	938009	Agent - Life	11/28/2016	11/15/2022
Inactive	Fabric Ins Agency LLC	938009	Agent - Health	11/28/2016	11/15/2022
Pending Replacement	Gerber Life Agency LLC	616051	Agent - Life	3/25/2022
Pending Replacement	Gerber Life Agency LLC	616051	Agent - Health	3/25/2022
Pending Replacement	Gerber Life Agency LLC	616051	Administrator - Not Applicable	5/16/2022