DEPARTMENT OF INSURANCE

Affiliations

Name	Bragg, Jeffery Shane	DOIID	725194	NAIC NPN	15713661

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/9/2013	11/1/2014
Inactive	Resident	Agent	Health	5/9/2013	11/1/2014
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/11/2011	3/2/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/11/2011	3/2/2012
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/13/2010	11/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/4/2013	11/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/4/2013	11/1/2014
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/22/2013	10/29/2013
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/22/2013	10/29/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/19/2013	12/5/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/27/2010	11/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/19/2013	12/5/2014
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	4/5/2010	8/31/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/27/2010	11/1/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/17/2013	11/1/2014
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/17/2013	11/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/19/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	6/19/2013	11/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	6/19/2013	11/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/19/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/19/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/19/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/19/2013	12/5/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/7/2013	9/3/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/7/2013	9/3/2013
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	5/16/2011	7/25/2011
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	5/16/2011	7/25/2011

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	6/4/2013	11/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/4/2013	11/1/2014
Inactive	Johnson-Pohlmann Inc.	399739	Agent - Health	8/21/2013	11/1/2014
Inactive	Johnson-Pohlmann Inc.	399739	Agent - Life	8/21/2013	11/1/2014
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Health	5/17/2013	11/1/2014
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Life	5/17/2013	11/1/2014
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	11/1/2014