DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Jared Wesley	DOIID	918495	NAIC NPN	8407508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/15/2016	8/6/2018
Inactive	Resident	Agent	Casualty	6/15/2016	8/6/2018
Inactive	Resident	Agent	Health	6/15/2016	8/6/2018
Inactive	Resident	Agent	Property	6/15/2016	8/6/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Avantax Insurance Agency, LLC	398671	Agent - Health
Denied	Avantax Insurance Agency, LLC	398671	Agent - Life