DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Holloway, Jeffrey A	DOIID	596840	NAIC NPN	328005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/13/2004	1/31/2013
Inactive	Non Resident	Agent	Health	10/13/2004	1/31/2013
* 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 Republic Insurance Company	300861	Agent - Health	10/29/2004	11/6/2008
Inactive	American Republic Insurance Company	300861	Agent - Life	10/29/2004	11/6/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/16/2004	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	7/24/2006	11/6/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Republic Insurance Services, LLC	653747	Agent - Life	4/17/2007	11/6/2008
Inactive	American Republic Insurance Services, LLC	653747	Agent - Health	4/17/2007	7/8/2009
Denied	Navistar Group Marketing LLC	690870	Agent - Life
Denied	Navistar Group Marketing LLC	690870	Agent - Health