DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Eubanks Jr, John W	DOIID	390071	NAIC NPN	550845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/21/1995	1/31/2007
Inactive	Non Resident	Agent	Health	6/21/1995	1/31/2007
* 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	4/23/1999	1/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/23/1999	1/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/21/1995	1/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/21/1995	1/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Tennessee Inc	534534	Agent - Life	7/14/2004	1/31/2007
Inactive	Brown & Brown of Tennessee Inc	534534	Agent - Health	7/14/2004	1/31/2007
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	11/8/1996	11/26/2003
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	11/8/1996	11/26/2003