DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jefferson, Freddie Lee	DOIID	795978	NAIC NPN	13450597

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/26/2012	6/30/2015
Inactive	Non Resident	Agent	Life	10/26/2012	6/30/2015
* 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	Combined Insurance Company of America	301472	Agent - Health	3/14/2014	12/31/2014
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/14/2014	12/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/7/2014	6/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/7/2014	6/30/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/11/2013	11/20/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/11/2013	11/20/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/7/2014	6/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/7/2014	6/30/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/7/2014	6/30/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/7/2014	6/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/7/2014	6/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/7/2014	6/30/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/7/2014	6/30/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/7/2014	6/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	3/11/2013	6/30/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	3/11/2013	6/30/2015
Inactive	Precise Solutions Group LLC	786316	Agent - Life	2/27/2014	6/30/2015
Inactive	Precise Solutions Group LLC	786316	Agent - Health	2/27/2014	6/30/2015