DEPARTMENT OF INSURANCE

Affiliations

Name	Hines, Jeffrey	DOIID	682127	NAIC NPN	5962547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/12/2012	10/31/2020
Inactive	Resident	Agent	Health	12/12/2012	10/31/2020
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/13/2023	10/31/2024
* 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	8/11/2009	11/5/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/20/2009	11/5/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/25/2014	10/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/9/2013	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/25/2010	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/25/2010	8/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/9/2013	12/5/2014
Inactive	Everly Life Insurance Company	561641	Agent - Life	3/29/2017	11/14/2018
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/21/2008	11/1/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2013	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2013	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/9/2013	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/9/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/9/2013	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/11/2012	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/11/2012	8/20/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/22/2009	11/1/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/22/2009	11/1/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2008	4/18/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/16/2012	11/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/16/2012	11/1/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/9/2015	10/31/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/9/2015	10/31/2020
Inactive	Modern Woodmen of America	301213	Agent - Life	12/12/2018	2/6/2019
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	2/20/2011	11/1/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	2/20/2011	11/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/21/2012	11/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/21/2012	11/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	10/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	10/31/2020
Inactive	MWAGIA, Inc	549166	Agent - Life	8/31/2009	11/1/2012
Inactive	MWAGIA, Inc	549166	Agent - Health	8/31/2009	11/1/2012