DEPARTMENT OF INSURANCE

Affiliations

Name	Eaves Insurance Benefits, LLC	DOIID	586619	NAIC NPN	8028662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/22/2008	3/31/2016
Inactive	Resident	Agent	Property	3/19/2004	3/31/2016
Inactive	Resident	Agent	Life	5/22/2008	3/31/2016
Inactive	Resident	Agent	Casualty	3/19/2004	3/31/2016
Denied	Resident	Surplus Lines Broker	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/3/2009	2/1/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/3/2009	2/1/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/3/2009	2/1/2012
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/22/2006	5/3/2013
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/22/2006	5/3/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/1/2005	10/1/2007
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/1/2005	10/1/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/1/2005	10/1/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2005	10/1/2007
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/17/2007	3/31/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/17/2007	3/31/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/1/2007	11/22/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/1/2007	11/22/2013
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	6/28/2006	1/30/2013
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	6/28/2006	1/30/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	11/15/2011	2/27/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	11/15/2011	2/27/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/27/2007	5/3/2013
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/27/2007	5/3/2013
Inactive	EMC National Life Company	300388	Agent - Health	6/17/2008	2/1/2013
Inactive	EMC National Life Company	300388	Agent - Life	6/17/2008	2/1/2013
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/11/2004	1/11/2013
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/11/2004	1/11/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/21/2005	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/21/2005	8/23/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/16/2008	5/3/2013
Inactive	First National Insurance Company of America	301690	Agent - Property	10/16/2008	5/3/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/16/2008	5/3/2013
Inactive	General Insurance Company of America	300261	Agent - Property	10/16/2008	5/3/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/21/2004	3/31/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	7/21/2004	3/31/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	7/21/2004	3/31/2016
Inactive	Grange Insurance Company	300234	Agent - Health	7/21/2004	10/1/2007
Inactive	Grange Insurance Company	300234	Agent - Property	7/21/2004	3/31/2016
Inactive	Grange Life Insurance Company	300128	Agent - Health	7/21/2004	10/1/2007
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/21/2004	10/1/2007
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/6/2008	3/31/2016
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/6/2008	3/31/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/11/2004	1/11/2013
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/11/2004	1/11/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/27/2007	5/3/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	8/27/2007	5/3/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/29/2010	3/31/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/29/2010	3/31/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/13/2007	3/31/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/13/2007	3/31/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/12/2012	11/11/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/12/2012	11/11/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	6/15/2012	10/4/2012
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	6/15/2012	10/4/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/6/2008	4/3/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/6/2008	4/3/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	9/22/2008	9/19/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/22/2008	9/19/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/27/2007	5/3/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/27/2007	5/3/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/22/2006	5/3/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/22/2006	5/3/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/22/2006	5/3/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/22/2006	5/3/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/27/2007	5/3/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/27/2007	5/3/2013
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/27/2007	5/3/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	8/27/2007	5/3/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/21/2006	3/15/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/21/2006	3/15/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/21/2006	3/15/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/21/2006	3/15/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/16/2008	5/3/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/16/2008	5/3/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/16/2008	5/3/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/16/2008	5/3/2013
Inactive	SECURA Insurance Company	301656	Agent - Casualty	4/15/2008	3/1/2013
Inactive	SECURA Insurance Company	301656	Agent - Property	4/15/2008	3/1/2013
Inactive	SECURA Supreme Insurance Company	645533	Agent - Casualty	4/15/2008	3/1/2013
Inactive	SECURA Supreme Insurance Company	645533	Agent - Property	4/15/2008	3/1/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	3/22/2007	2/27/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	3/22/2007	2/27/2013
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/6/2008	4/3/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/6/2008	4/3/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/6/2008	4/3/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/6/2008	4/3/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/15/2011	2/27/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/15/2011	2/27/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/8/2007	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/8/2007	8/23/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	7/21/2004	3/31/2016
Inactive	Trustgard Insurance Company	300104	Agent - Health	7/21/2004	10/1/2007
Inactive	Trustgard Insurance Company	300104	Agent - Property	7/21/2004	3/31/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	3/15/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	3/15/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	3/22/2006	5/3/2013
Inactive	West American Insurance Company	301112	Agent - Property	3/22/2006	5/3/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clemons, Gregory Lynn	315940	Agent - Casualty	5/30/2008	7/2/2009
Inactive	Clemons, Gregory Lynn	315940	Agent - Health	5/27/2008	7/2/2009
Inactive	Clemons, Gregory Lynn	315940	Agent - Life	5/27/2008	7/2/2009
Inactive	Clemons, Gregory Lynn	315940	Agent - Property	5/30/2008	7/2/2009
Inactive	Crume, Kurt	733535	Agent - Casualty	5/17/2011	3/18/2013
Inactive	Crume, Kurt	733535	Agent - Property	5/17/2011	3/18/2013
Inactive	Eades, Tommy Bryan	359607	Agent - Casualty	6/13/2005	7/2/2009
Inactive	Eades, Tommy Bryan	359607	Agent - Property	6/13/2005	7/2/2009
Inactive	Eaves, Charles Stone	387258	Agent - Casualty	3/19/2004	8/1/2015
Inactive	Eaves, Charles Stone	387258	Agent - Property	3/19/2004	8/1/2015
Denied	Isom, Ernest L	669419	Agent - Casualty
Denied	Isom, Ernest L	669419	Agent - Property
Inactive	Jackson, Vicki Maurine	374230	Agent - Casualty	3/19/2004	5/1/2013
Inactive	Jackson, Vicki Maurine	374230	Agent - Property	3/19/2004	5/1/2013
Inactive	Jones, Amanda Kay	519943	Agent - Health	6/23/2008	3/31/2016
Inactive	Meister, Lori Ann	310994	Agent - Casualty	3/19/2004	3/31/2016
Inactive	Meister, Lori Ann	310994	Agent - Property	3/19/2004	3/31/2016
Inactive	Pentecost, Kathy Jean	336541	Agent - Casualty	3/19/2004	12/1/2015
Inactive	Pentecost, Kathy Jean	336541	Agent - Property	3/19/2004	12/1/2015
Inactive	Peveler, Marilyn Gaye	311316	Agent - Casualty	4/2/2004	3/31/2016
Inactive	Peveler, Marilyn Gaye	311316	Agent - Property	4/2/2004	3/31/2016
Denied	Ramsey, James Douglas	673705	Agent - Casualty
Inactive	Revo, Robbie Earl	542919	Agent - Casualty	7/2/2009	3/31/2016
Inactive	Revo, Robbie Earl	542919	Agent - Life	7/2/2009	3/31/2016
Inactive	Revo, Robbie Earl	542919	Agent - Property	7/2/2009	3/31/2016
Inactive	Vaughn, Mark A	744301	Agent - Casualty	5/17/2011	1/4/2013
Inactive	Vaughn, Mark A	744301	Agent - Property	5/17/2011	1/4/2013
Inactive	Vincent, Ryan Eugene	695138	Agent - Casualty	7/18/2011	3/31/2016
Denied	Vincent, Ryan Eugene	695138	Agent - Health
Inactive	Vincent, Ryan Eugene	695138	Agent - Property	7/18/2011	3/31/2016
Inactive	Wetzel, Karl Ralph	381910	Agent - Casualty	3/19/2004	1/22/2007
Inactive	Wetzel, Karl Ralph	381910	Agent - Property	3/19/2004	1/22/2007