DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Etherton, James Bruce	DOIID	362740	NAIC NPN	7197097

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	12/31/1997	3/24/2001
Inactive	Resident	Agent	Life	6/29/2005	4/1/2009
Inactive	Resident	Agent	Health	6/29/2005	4/1/2009
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/26/2005	12/1/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/26/2005	12/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paragon Health System LLC	395828	Administrator - Not Applicable	12/31/1997	3/24/2001