DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Active	Non Resident	Agent	Life	3/25/2025		5/31/2026
Active	Non Resident	Agent	Health	3/25/2025		5/31/2026
* 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	03/15/2026	05/31/2026

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