DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haworth, Jeffrey Whitfield	DOIID	863225	NAIC NPN	17445130

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/10/2014		12/31/2025
Active	Non Resident	Agent	Life	3/17/2015		12/31/2025
Active	Non Resident	Agent	Health	3/17/2015		12/31/2025
Active	Non Resident	Agent	Property	12/10/2014		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/19/2015	9/26/2016
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/19/2015	9/26/2016
Active	Ohio Indemnity Company	301745	Agent - Casualty	12/15/2014
Active	Ohio Indemnity Company	301745	Agent - Property	12/15/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kubota Tractor Acceptance Corporation	643991	Agent - Casualty	1/28/2015
Active	Kubota Tractor Acceptance Corporation	643991	Agent - Property	1/28/2015