DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Glover, Adam Wayne	DOIID	515575	NAIC NPN	5965868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/25/2012	6/1/2013
Inactive	Resident	Agent	Property	7/10/2012	6/1/2013
Inactive	Resident	Agent	Life	1/25/2012	6/1/2013
Inactive	Resident	Agent	Casualty	7/10/2012	6/1/2013
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/15/2000	6/29/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/2/2000	6/29/2009
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/24/2012	6/1/2013
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/24/2012	6/1/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/13/2012	6/1/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/13/2012	6/1/2013
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/31/2012	6/1/2013
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/31/2012	6/1/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/19/2012	6/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	8/23/2012	6/1/2013
Inactive	Medlink Inc	400721	Agent - Life	8/23/2012	6/1/2013
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Health	1/31/2012	6/1/2013
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Life	1/31/2012	6/1/2013
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Casualty	9/17/2012	6/1/2013
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Property	9/17/2012	6/1/2013