DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pettys, Ronald A	DOIID	601495	NAIC NPN	8358319

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/26/2005	1/22/2009
Inactive	Non Resident	Agent	Health	12/19/2008	3/31/2011
Inactive	Non Resident	Agent	Life	1/13/2010	3/31/2011
Inactive	Resident	Apprentice Adjuster	Not Applicable	1/18/2005	4/26/2005
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	7/11/2011	3/31/2013
* 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	9/1/2009	4/12/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/13/2010	3/31/2011

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bibelhauser, William Michael	316244	Apprentice Adjuster - Not Applicable	1/18/2005	4/26/2005