DEPARTMENT OF INSURANCE

Affiliations

Name	Carver, Jeffrey Dean	DOIID	621478	NAIC NPN	8665160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	5/1/2007	6/30/2019
Inactive	Resident	Agent	Casualty	4/10/2007	6/30/2019
Inactive	Resident	Agent	Life	1/17/2006	6/30/2019
Inactive	Resident	Agent	Health	1/17/2006	6/30/2019
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	1/30/2006	10/17/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/30/2006	10/17/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	2/1/2007	6/30/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	2/1/2007	6/30/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	4/20/2006	1/7/2008
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/20/2006	1/7/2008
Inactive	Americom Life & Annuity Insurance Company	301843	Agent - Life	3/19/2007	10/23/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/5/2007	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/5/2007	11/2/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/17/2009	10/29/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/17/2009	10/29/2009
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/19/2006	12/28/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/19/2006	12/28/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/17/2009	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/17/2009	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/17/2009	7/10/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/30/2009	1/5/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/30/2009	1/5/2012
Inactive	Delaware Life Insurance Company	301256	Agent - Life	10/3/2007	11/3/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/10/2013
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	10/16/2007	4/28/2011
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	4/17/2009	10/29/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/12/2009	6/21/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/20/2009	10/18/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/20/2009	10/18/2013
Inactive	Forethought Life Insurance Company	301407	Agent - Life	3/28/2008	6/30/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/6/2007	10/4/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/6/2007	10/4/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/17/2010	12/15/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/17/2010	12/15/2011
Inactive	Great West Casualty Company	301015	Agent - Casualty	11/5/2007	10/15/2012
Inactive	Great West Casualty Company	301015	Agent - Property	11/5/2007	10/15/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/22/2007	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/22/2007	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	6/22/2007	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/22/2007	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/22/2007	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/17/2009	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/17/2009	2/22/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	10/7/2009	12/26/2013
Inactive	Industrial Alliance Pacific Insurance and Financial Services, Inc.	612512	Agent - Health	4/24/2006	1/16/2009
Inactive	Industrial Alliance Pacific Insurance and Financial Services, Inc.	612512	Agent - Life	4/24/2006	11/8/2007
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	2/7/2006	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	2/7/2006	10/2/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	3/12/2012	1/11/2014
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	3/12/2012	1/11/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/17/2009	9/4/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/17/2009	9/4/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/15/2007	11/23/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/15/2007	11/23/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/30/2006	8/8/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/30/2006	8/8/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/22/2010	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/22/2010	12/23/2014
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/6/2007	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/6/2007	4/30/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/17/2009	10/29/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/17/2009	10/29/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/17/2009	10/29/2009
Inactive	Time Insurance Company	300683	Agent - Health	8/8/2007	12/11/2009
Inactive	Time Insurance Company	300683	Agent - Life	8/8/2007	12/11/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/4/2008	1/22/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/4/2008	1/22/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/19/2011	1/22/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/19/2011	1/22/2015
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	4/17/2009	10/29/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	4/17/2009	10/29/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	4/17/2009	10/29/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/17/2009	10/29/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/17/2009	3/28/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/17/2009	3/28/2011
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/17/2009	10/29/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/17/2009	10/29/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/17/2009	10/29/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	4/17/2009	10/29/2009
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/13/2006	9/26/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	6/25/2009	12/7/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	6/25/2009	12/7/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/15/2007	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/15/2007	11/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/5/2007	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/5/2007	6/21/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/20/2010	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	11/2/2016
Inactive	Jeff Carver Insurance Agency Inc	707930	Agent - Health	7/17/2009	3/31/2011
Inactive	Jeff Carver Insurance Agency Inc	707930	Agent - Life	7/17/2009	3/31/2011
Inactive	Jeff Carver Insurance Agency Inc	707930	Agent - Casualty	7/17/2009	3/31/2011
Inactive	Jeff Carver Insurance Agency Inc	707930	Agent - Property	7/17/2009	3/31/2011