DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ayers, Jeffrey Glenn	DOIID	378280	NAIC NPN	1849241

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/24/1982	7/21/2004
Inactive	Non Resident	Agent	Life	8/24/1982	7/21/2004
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/17/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/17/1996	6/7/2000
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/24/1982	7/21/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/24/1982	7/21/2004
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	11/11/1996	6/18/2003
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	11/11/1996	6/18/2003
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	3/6/1991	2/15/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	3/6/1991	2/15/1996

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	6/25/1996	6/19/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/19/2000
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	11/8/2002	1/12/2004
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	11/8/2002	1/12/2004