DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adkins, Jimmy Dale	DOIID	719013	NAIC NPN	15390734

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	12/15/2009	7/1/2014
* 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	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/24/2010	7/1/2014
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	5/15/2012	7/1/2014
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	12/21/2009	4/25/2013

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 - Life	2/19/2010	5/20/2013