DEPARTMENT OF INSURANCE

Affiliations

Name	McGuffey, Sally Jane	DOIID	372641	NAIC NPN	7201347

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/13/1989	6/30/2009
Inactive	Resident	Agent	Life	7/13/1989	6/30/2009
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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/31/1998	12/28/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/31/1998	12/28/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/14/2000	6/30/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/14/2000	6/30/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/17/2001	12/9/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/17/2001	12/9/2005
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/29/2002	12/28/2005
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/29/2002	12/28/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	3/11/2002	8/15/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/11/2002	8/15/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/20/1997	5/6/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/20/1997	5/6/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/31/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/31/1998	8/2/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	7/31/1998	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	7/31/1998	3/31/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/14/2001	1/24/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/18/2006	6/30/2009
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	8/31/2000	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	8/31/2000	10/23/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/18/2001	6/30/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/18/2001	6/30/2009
Inactive	Time Insurance Company	300683	Agent - Health	4/16/2001	12/7/2005
Inactive	Time Insurance Company	300683	Agent - Life	4/16/2001	12/7/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/13/2002	6/30/2009
Inactive	McGuffey Life & Health Inc.	398583	Agent - Life	2/21/1991	6/30/2009
Inactive	McGuffey Life & Health Inc.	398583	Agent - Health	2/21/1991	6/30/2009
Inactive	Medlink Inc	400721	Agent - Life	3/1/2004	6/30/2009
Inactive	Medlink Inc	400721	Agent - Health	3/1/2004	6/30/2009