DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Myers, Eric Shane	DOIID	593920	NAIC NPN	8199612

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	9/3/2004	7/1/2006
* 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
Denied	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/3/2004	9/30/2005
Inactive	Modern Woodmen of America	301213	Agent - Life	2/9/2005	11/8/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MWAGIA, Inc	549166	Agent - Life	2/14/2005	11/8/2005