DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Jim N	DOIID	374682	NAIC NPN	4795418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/25/1996	11/30/2017
Inactive	Non Resident	Agent	Health	7/25/1996	11/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/25/2010	11/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/25/2010	11/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/25/2010	11/30/2017
Inactive	American National Insurance Company	301861	Agent - Health	3/11/1999	2/6/2003
Inactive	American National Insurance Company	301861	Agent - Life	3/11/1999	2/6/2003
Inactive	American Republic Insurance Company	300861	Agent - Health	2/22/1999	3/23/2001
Inactive	American Republic Insurance Company	300861	Agent - Life	2/22/1999	3/23/2001
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	1/21/1999	11/22/2002
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/21/1999	11/22/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/14/1998	11/1/2000
Inactive	New York Life Insurance Company	300431	Agent - Health	7/29/1997	10/17/1997
Inactive	New York Life Insurance Company	300431	Agent - Life	7/29/1997	10/17/1997
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	7/29/1997	10/17/1997
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	7/29/1997	10/17/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/8/1997	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/8/1997	11/25/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/25/1998	3/2/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/25/1998	3/2/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/18/2004	8/5/2016
Inactive	Time Insurance Company	300683	Agent - Health	7/25/1996	2/5/2003
Inactive	Time Insurance Company	300683	Agent - Life	7/25/1996	2/5/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	11/5/1997	2/26/1999
Inactive	Union Security Insurance Company	301844	Agent - Life	11/5/1997	2/26/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Life Assoc Inc	398569	Agent - Life	2/11/1997	2/24/2003
Inactive	Life Assoc Inc	398569	Agent - Health	2/11/1997	2/24/2003