DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Butler, Jack Evin	DOIID	1313802	NAIC NPN	20523679

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/7/2023		12/31/2025
Active	Non Resident	Agent	Health	12/7/2023		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
Active	American General Life Insurance Company	301585	Agent - Health	5/28/2024
Active	American General Life Insurance Company	301585	Agent - Life	5/28/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	9/6/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/6/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	12/14/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	12/14/2023
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	12/14/2023