DEPARTMENT OF INSURANCE

Affiliations

Name	Federoff, Jeffrey S	DOIID	855679	NAIC NPN	16810525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/8/2014	4/30/2017
Inactive	Non Resident	Agent	Health	10/8/2014	4/30/2017
* 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	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/8/2014	4/30/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/8/2014	4/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/17/2015	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/17/2015	3/23/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/29/2014	5/5/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/29/2014	5/5/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/17/2015	4/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/17/2015	4/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2014	4/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2014	4/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/13/2014	4/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/13/2014	4/30/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/30/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/17/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/13/2014	5/28/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/7/2016	4/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/7/2016	4/30/2017
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/7/2016	4/30/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/7/2016	4/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	10/8/2014	4/30/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	10/8/2014	4/30/2017