DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Ronald Dean	DOIID	923339	NAIC NPN	3073030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/20/2017	5/31/2018
Inactive	Non Resident	Agent	Health	8/3/2016	5/31/2022
Inactive	Non Resident	Agent	Life	8/3/2016	5/31/2022
* 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	AXIS Insurance Company	301290	Agent - Health	8/17/2016	9/12/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/3/2017	6/24/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/3/2017	6/24/2022
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/15/2016	3/8/2019
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/15/2016	3/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	12/15/2016	3/31/2018
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	12/14/2016	3/31/2018
Inactive	Homeland Healthcare, LLC	736705	Administrator - Not Applicable	1/23/2017	3/31/2018
Inactive	Homeland@Work, LLC	814962	Agent - Life	12/15/2016	3/31/2017
Inactive	Homeland@Work, LLC	814962	Agent - Health	12/14/2016	3/31/2017