DEPARTMENT OF INSURANCE

Affiliations

Name	Jefferson Jr, Karl Buford	DOIID	692689	NAIC NPN	12161239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	6/9/2009	9/1/2013
Inactive	Resident	Agent	Property	6/18/2009	9/1/2013
Inactive	Resident	Agent	Health	12/23/2008	9/1/2013
Inactive	Resident	Agent	Life	12/23/2008	9/1/2013
* 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	3/31/2009	8/31/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/31/2009	8/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/24/2011	6/2/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/24/2011	6/2/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/3/2009	7/1/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/3/2009	7/1/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/18/2009	6/2/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/18/2009	6/2/2012
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	6/30/2009	6/2/2012
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	6/30/2009	6/2/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/28/2009	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/28/2009	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/28/2009	7/10/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/21/2009	6/2/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/6/2009	7/10/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	9/15/2009	6/2/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	9/15/2009	6/2/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/21/2009	6/2/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/4/2009	9/1/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/4/2009	9/1/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/26/2009	9/1/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/26/2009	9/1/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/23/2009	6/2/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/23/2009	6/2/2012
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/23/2009	6/2/2012
Inactive	Grange Insurance Company	300234	Agent - Property	6/23/2009	6/2/2012
Inactive	Grange Life Insurance Company	300128	Agent - Life	2/10/2009	6/2/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/23/2009	6/2/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/23/2009	6/2/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/6/2009	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	5/6/2009	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	5/6/2009	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/6/2009	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/6/2009	7/10/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/10/2009	6/2/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/10/2009	6/2/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/6/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/6/2009	4/25/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/1/2012	10/22/2013
Inactive	Time Insurance Company	300683	Agent - Health	10/30/2012	9/1/2013
Inactive	Time Insurance Company	300683	Agent - Life	10/30/2012	9/1/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	9/15/2009	6/2/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	9/15/2009	6/2/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/23/2009	6/2/2012
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/23/2009	6/2/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	4/2/2009	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/1/2012	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/1/2012	10/22/2013

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 - Health	2/24/2011	8/27/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/24/2011	8/27/2012
Inactive	Kenneth L Beard Insurance Inc.	398090	Agent - Health	3/31/2009	3/31/2013
Inactive	Kenneth L Beard Insurance Inc.	398090	Agent - Life	3/13/2009	3/31/2013
Inactive	Kenneth L Beard Insurance Inc.	398090	Agent - Casualty	6/24/2009	3/31/2013
Inactive	Kenneth L Beard Insurance Inc.	398090	Agent - Property	6/24/2009	3/31/2013
Inactive	Medlink Inc	400721	Agent - Health	1/26/2011	9/1/2013
Inactive	Medlink Inc	400721	Agent - Life	1/26/2011	9/1/2013