DEPARTMENT OF INSURANCE

Affiliations

Name	Warshaw, Jeffrey David	DOIID	796351	NAIC NPN	10167305

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/31/2012	4/30/2016
Inactive	Non Resident	Agent	Health	10/31/2012	4/30/2016
* 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	Banner Life Insurance Company	301696	Agent - Life	5/7/2013	4/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/19/2013	4/30/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/4/2013	10/20/2015
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/4/2013	10/20/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/19/2013	4/30/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/22/2013	4/30/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/22/2013	4/30/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/19/2013	4/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/19/2013	4/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/19/2013	4/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	2/19/2013	4/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/19/2013	4/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/19/2013	4/30/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/30/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/19/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/19/2013	10/22/2015
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	6/24/2013	9/11/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/14/2013	5/2/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/14/2013	5/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	7/5/2013	3/31/2016
Inactive	AHB Sales LLC	787451	Agent - Health	7/5/2013	3/31/2016
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	7/5/2013	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	7/5/2013	12/9/2015