DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ehrlich, Jeffrey	DOIID	973741	NAIC NPN	17873459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/19/2017	5/31/2021
Inactive	Non Resident	Agent	Health	10/19/2017	5/31/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/28/2019	7/27/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/28/2019	7/27/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/13/2017	2/12/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/16/2018	7/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/16/2018	7/18/2019
Inactive	Federal Insurance Company	301144	Agent - Health	11/22/2019	5/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/17/2019	6/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/17/2019	6/2/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Health	2/20/2019	5/31/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/5/2018	7/8/2019
Inactive	Pioneer American Insurance Company	301268	Agent - Life	4/25/2021	5/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	5/31/2021