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DEPARTMENT OF INSURANCE
Affiliations
Name
Shirley, Jennifer Mize
DOIID
1166980
NAIC NPN
20008485
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
10/17/2021
8/31/2026
Active
Non Resident
Agent
Life
10/17/2021
8/31/2026
* 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
Agent
06/15/2026
08/31/2026
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
1/29/2026
2/10/2026
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
1/29/2026
2/10/2026
Active
CMFG Life Insurance Company
300929
Agent - Health
2/28/2024
Active
CMFG Life Insurance Company
300929
Agent - Life
2/28/2024
Inactive
Tier One Insurance Company
301056
Agent - Health
1/23/2026
2/3/2026
Inactive
Tier One Insurance Company
301056
Agent - Life
1/23/2026
2/3/2026
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Sutherland Global Services Inc
601788
Agent - Life
1/20/2026
Active
Sutherland Global Services Inc
601788
Agent - Health
1/20/2026
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