DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Jeffrey W	DOIID	635875	NAIC NPN	8855264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/24/2014	9/1/2016
Inactive	Resident	Agent	Health	1/24/2008	9/1/2008
* 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 Income Life Insurance Company	300256	Agent - Health	8/2/2006	3/26/2007
Inactive	American Income Life Insurance Company	300256	Agent - Life	8/3/2006	3/26/2007
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	2/20/2008	7/3/2008
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	2/7/2008	7/2/2008
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	2/7/2008	7/2/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	2/7/2008	7/2/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/7/2008	7/2/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/7/2008	7/2/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/7/2008	7/2/2008
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	2/8/2008	6/30/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/8/2008	9/1/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/8/2008	9/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Health
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Life