DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jeffus, Ellwyn Thomas	DOIID	313896	NAIC NPN	3313131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/7/1978	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	10/18/1999	12/1/2000
Inactive	Resident	Agent	Life	6/7/1978	12/1/2000
* 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
Inactive	Centre Life Insurance Company	300341	Agent - Health	10/21/1997	3/31/1999
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	6/12/1998	12/1/2000
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	6/12/1998	12/1/2000
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	10/15/1999	12/1/2000
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	10/15/1999	12/1/2000
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/26/1999	12/1/2000
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/26/1999	12/1/2000
Inactive	General American Life Insurance Company	300280	Agent - Health	6/7/1978	6/4/1999
Inactive	General American Life Insurance Company	300280	Agent - Life	6/7/1978	6/4/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/18/1999	12/1/2000
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/1999	12/1/2000
Inactive	Humana Insurance Company	301104	Agent - Life	10/18/1999	12/1/2000
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	4/9/1998	6/7/1999
Inactive	Union Security Insurance Company	301844	Agent - Health	10/20/1998	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	10/20/1998	12/1/2000
Inactive		300277	Agent - Health	3/31/1998	12/1/2000
Inactive		300277	Agent - Life	3/31/1998	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thompson Associates Inc.	398584	Agent - Life	5/22/1997	12/1/2000
Inactive	Thompson Associates Inc.	398584	Agent - Health	5/22/1997	12/1/2000