DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kauffman, Gaylord Ivan	DOIID	534060	NAIC NPN	1339403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/17/2001	5/31/2012
Inactive	Non Resident	Agent	Health	7/17/2001	5/31/2012
* 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	7/17/2001	5/31/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/17/2001	5/31/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/30/2010	5/31/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/30/2010	5/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Layne Financial Inc	716840	Agent - Life	10/28/2009	5/31/2012
Inactive	Layne Financial Inc	716840	Agent - Health	10/28/2009	5/31/2012