DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Farris, Chad William	DOIID	679029	NAIC NPN	10284201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/22/2008	12/4/2015
Inactive	Non Resident	Agent	Life	4/22/2008	12/4/2015
* 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	10/29/2012	12/15/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/29/2012	12/15/2015
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	8/5/2008	12/4/2015
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/5/2008	12/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/26/2009	1/22/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/26/2009	1/22/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	6/23/2008	12/4/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/23/2008	12/4/2015
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/13/2008	4/11/2011
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/13/2008	4/11/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	6/30/2008	12/4/2015
Inactive	The Farmington Company	534046	Agent - Life	6/30/2008	12/4/2015