PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameErlebacher, Adam JDOIID918505NAIC NPN17816663
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAdministratorNot Applicable4/27/2022 6/30/2025
Pending ReplacementNon ResidentAgentHealth6/15/2016 6/30/2025
Pending ReplacementNon ResidentAgentLife6/15/2016 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator04/15/202506/30/2025   
Agent04/15/202506/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAmerican General Life Insurance Company301585Agent - Health8/30/2022 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Life8/30/2022 
Pending ReplacementGerber Life Insurance Company300529Agent - Health11/29/2022 
Pending ReplacementGerber Life Insurance Company300529Agent - Life11/29/2022 
InactiveLafayette Life Insurance Company (The)301039Agent - Life2/22/20243/10/2025
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Health8/9/2023 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Life8/9/2023 
Pending ReplacementPacific Life Insurance Company301848Agent - Health10/2/2023 
Pending ReplacementPacific Life Insurance Company301848Agent - Life10/2/2023 
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life10/20/202211/26/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/27/20233/22/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/27/20233/22/2024
InactiveVantis Life Insurance Company572176Agent - Health9/12/201612/7/2022
InactiveVantis Life Insurance Company572176Agent - Life8/16/201612/7/2022
Pending ReplacementWestern and Southern Life Insurance Company301744Agent - Health5/12/2022 
Pending ReplacementWestern and Southern Life Insurance Company301744Agent - Life5/12/2022 
Pending ReplacementWestern-Southern Life Assurance Company301590Agent - Health5/12/2022 
Pending ReplacementWestern-Southern Life Assurance Company301590Agent - Life5/12/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFabric Ins Agency LLC938009Agent - Life11/28/201611/15/2022
InactiveFabric Ins Agency LLC938009Agent - Health11/28/201611/15/2022
Pending ReplacementGerber Life Agency LLC616051Agent - Life3/25/2022 
Pending ReplacementGerber Life Agency LLC616051Agent - Health3/25/2022 
Pending ReplacementGerber Life Agency LLC616051Administrator - Not Applicable5/16/2022 

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