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	Property	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
* 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	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