DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Ronald Kenneth	DOIID	385999	NAIC NPN	7207215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/25/2002	2/28/2007
Inactive	Resident	Agent	Life	1/21/1993	2/28/2007
* 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	Assurity Life Insurance Company	301099	Agent - Health	11/1/2003	2/3/2004
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/1/2003	2/3/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	11/11/2002	12/16/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	11/11/2002	12/16/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/15/2005	2/28/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/15/2005	2/28/2007
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	9/25/2002	1/12/2007
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	1/21/1993	1/12/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	12/28/2004	2/28/2007
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	12/28/2004	2/28/2007