DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, James Allen	DOIID	348030	NAIC NPN	7190542

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/27/1984	11/30/2021
Inactive	Resident	Agent	Health Maintenance Organization	8/5/1987	3/1/2001
Inactive	Resident	Agent	Health	3/27/1984	11/30/2021
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	2/23/1994	12/1/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	10/9/1991	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/9/1991	12/16/1996
Inactive	American National Insurance Company	301861	Agent - Health	8/10/1989	3/31/1997
Inactive	American National Insurance Company	301861	Agent - Life	8/10/1989	3/31/1997
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	9/28/1986	3/31/1997
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	9/28/1986	3/31/1997
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	4/1/1996	11/4/1996
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	4/1/1996	11/4/1996
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/5/1987	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/27/1993	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/27/1993	6/7/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Health	2/28/1994	4/29/1996
Inactive	Athene Annuity and Life Company	301893	Agent - Life	2/28/1994	4/29/1996
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	10/31/2006
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/20/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/20/1995	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	11/21/1991	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	11/21/1991	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/24/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/24/1997	12/31/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	2/11/1987	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	2/11/1987	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/30/1985	1/29/2003
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/30/1985	1/29/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/3/1993	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/3/1993	10/31/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	3/27/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/20/1993	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/9/1988	3/27/2004
Inactive	Humana Insurance Company	301104	Agent - Life	5/9/1988	3/27/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/27/1984	1/22/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/27/1984	1/22/2003
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	6/13/1990	9/29/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/10/1990	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/10/1990	3/31/1997
Denied	Lafayette Life Insurance Company (The)	301039	Agent - Health
Denied	Lafayette Life Insurance Company (The)	301039	Agent - Life
Inactive	Midland National Life Insurance Company	300923	Agent - Health	9/16/1994	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/16/1994	3/31/1997
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	3/16/1993	4/22/1996
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	3/16/1993	4/22/1996
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	2/24/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	2/24/1994	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	3/2/1988	1/21/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	3/2/1988	1/21/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/16/1987	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/16/1987	11/10/2004
Inactive	Time Insurance Company	300683	Agent - Health	12/19/1984	1/22/1998
Inactive	Time Insurance Company	300683	Agent - Life	12/19/1984	1/22/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/29/1994	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/29/1994	10/16/1996
Inactive	Union Security Insurance Company	301844	Agent - Health	4/2/1991	11/19/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	4/2/1991	5/11/2001
Inactive	United Presidential Life Insurance Company	300422	Agent - Life	8/5/1987	3/31/1997
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/25/1994	12/21/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/25/1994	11/2/2005
Inactive	Washington National Insurance Company	300587	Agent - Health	12/15/1988	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	12/15/1988	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/2/1992	6/19/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/2/1992	6/19/2000
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997