DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Paul Ray	DOIID	700066	NAIC NPN	13164365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/13/2009	6/1/2022
Inactive	Resident	Agent	Life	3/13/2009	6/1/2022
* 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 Republic Insurance Company	300861	Agent - Health	7/22/2009	12/29/2010
Inactive	American Republic Insurance Company	300861	Agent - Life	7/22/2009	12/29/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/22/2009	8/21/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/22/2009	8/21/2014
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/6/2009	12/16/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/6/2009	12/16/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/9/2012	6/24/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	11/18/2017	8/8/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	12/3/2019	11/23/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/9/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/9/2012	6/24/2013
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	3/24/2009	5/17/2022
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	3/24/2009	5/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	4/27/2009	5/17/2022
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	4/27/2009	5/17/2022