DEPARTMENT OF INSURANCE

Affiliations

Name	Groover, Jeffrey Shane	DOIID	631498	NAIC NPN	3635325

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/6/2006	12/31/2012
Inactive	Non Resident	Agent	Health	5/6/2006	12/31/2012
* 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 General Life Insurance Company	301585	Agent - Health	2/9/2007	12/7/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	2/9/2007	12/7/2007
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	1/14/2011	12/31/2012
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	1/14/2011	12/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/31/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/26/2012	12/31/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/26/2012	12/31/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	12/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/30/2007	12/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/30/2007	12/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2007	12/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2007	12/31/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/30/2007	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/30/2007	2/23/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	6/22/2010	12/20/2012
Inactive	Time Insurance Company	300683	Agent - Health	6/1/2006	8/9/2007
Inactive	Time Insurance Company	300683	Agent - Life	6/1/2006	8/9/2007
Inactive	United American Insurance Company	300910	Agent - Health	8/1/2006	10/19/2007
Inactive	United American Insurance Company	300910	Agent - Life	8/1/2006	10/19/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	2/15/2007	12/31/2012
Inactive	HBDC II, Inc	641352	Agent - Life	2/15/2007	12/31/2012