DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hardt, Shelly	DOIID	764154	NAIC NPN	16397017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/5/2011		3/31/2027
* 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	Clear Spring Life and Annuity Company	300919	Agent - Life	1/21/2016	11/22/2024
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/3/2016	1/8/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/4/2015	3/10/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/12/2016	11/23/2019
Active	Southern Financial Life Insurance Company	300664	Agent - Life	8/17/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	FNB Bank, Inc	399080	Agent - Life	9/3/2025