DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fetterman, Kenneth Russell	DOIID	950118	NAIC NPN	3893604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/5/2017		12/31/2026
Active	Non Resident	Agent	Life	4/5/2017		12/31/2026
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	4/20/2017
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/20/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/24/2017	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/29/2017	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/29/2017	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/24/2017	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/24/2017	7/12/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/24/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/24/2017	12/8/2017
Active	Standard Insurance Company	300185	Agent - Health	6/14/2017
Active	Standard Insurance Company	300185	Agent - Life	6/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Health	4/20/2017
Active	Assuredpartners NL, LLC	762387	Agent - Life	4/20/2017