DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Jeffrey W	DOIID	501700	NAIC NPN	3310572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/9/2015		9/30/2026
Active	Non Resident	Agent	Health	10/9/2015		9/30/2026
Inactive	Non Resident	Agent	Casualty	7/7/2009	9/30/2014
Inactive	Non Resident	Agent	Property	5/18/2005	9/30/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	08/28/2024	08/28/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	5/11/2017	10/9/2024
Inactive	AAA Life Insurance Company	300287	Agent - Life	5/11/2017	10/9/2024
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	7/30/2003	4/30/2004
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	7/30/2003	4/30/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/4/2009	9/30/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/4/2009	9/30/2014
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	4/6/2011	7/15/2014
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	5/18/2005	7/15/2014
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/28/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/28/2000	11/7/2002
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/15/2022	10/15/2024
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/15/2022	10/15/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/30/2005	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	4/21/2016	5/16/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/6/2009	9/30/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/6/2009	9/30/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/26/2010	9/30/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/26/2010	9/30/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/3/2004	9/30/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/3/2004	9/30/2014
Inactive	United World Life Insurance Company	300532	Agent - Health	12/30/2005	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	12/26/2012
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	10/12/2015	5/16/2017
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	10/12/2015	5/16/2017
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/12/2015	5/16/2017
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/12/2015	5/16/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa East Central Insurance Agency Inc	861400	Agent - Life	5/30/2017	10/15/2024
Active	Aaa East Central Insurance Agency Inc	861400	Agent - Health	5/30/2017
Inactive	Aaa Life Agency LLC	1063780	Agent - Life	4/17/2020	10/9/2024
Inactive	Aaa Life Agency LLC	1063780	Agent - Health	4/17/2020	10/9/2024