DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jeffries, Mikal A	DOIID	721881	NAIC NPN	1859197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/7/2019		10/31/2024
Active	Non Resident	Agent	Life	1/7/2019		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/11/2011	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/11/2011	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/11/2011	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/20/2010	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2010	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/20/2010	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/20/2010	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/20/2010	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/20/2010	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/20/2010	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	1/22/2018
Inactive	Superior Dental Care Inc.	300418	Agent - Health	9/1/2011	10/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Horan Associates, Inc.	502048	Agent - Life	9/2/2011	1/22/2018
Inactive	Horan Associates, Inc.	502048	Agent - Health	9/2/2011	10/31/2018