DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haley, James Allen	DOIID	573637	NAIC NPN	7659667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/15/2003	5/12/2005
Inactive	Non Resident	Agent	Life	8/15/2003	5/12/2005
* 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	9/3/2003	9/30/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/3/2003	9/30/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/16/2004	5/12/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/16/2004	5/12/2005
Inactive	Midland National Life Insurance Company	300923	Agent - Health	1/20/2004	12/6/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	1/20/2004	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Brooke Agency Services Company, LLC	544183	Agent - Health
Denied	Brooke Agency Services Company, LLC	544183	Agent - Life