DEPARTMENT OF INSURANCE

Affiliations

Name	Shoffner, Jennifer L	DOIID	306102	NAIC NPN	7158324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	4/4/1996	5/6/1999
Inactive	Resident	Agent	Variable Life and Variable Annuities	10/25/2013	6/1/2023
Inactive	Resident	Agent	Health	10/25/2013	6/1/2023
Inactive	Resident	Agent	Life	10/25/2013	6/1/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	4/4/1996	5/6/1999
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Credit Life & Health	10/14/1997	4/2/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Osborne Motors Inc.	400595	Agent - Credit Life & Health	5/22/1996	5/6/1999