DEPARTMENT OF INSURANCE

Affiliations

Name	Chain, Shannon	DOIID	1072126	NAIC NPN	17896891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/27/2020	9/30/2024
Active	Non Resident	Agent	Variable Life and Variable Annuities	1/27/2020	9/30/2024
Active	Non Resident	Agent	Health	1/27/2020	9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/11/2023
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	8/21/2023
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	1/27/2020
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	1/27/2020
Active	Liberty National Life Insurance Company	300827	Agent - Health	1/27/2020
Active	Liberty National Life Insurance Company	300827	Agent - Life	1/27/2020
Active	Midland National Life Insurance Company	300923	Agent - Life	10/5/2023
Active	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	10/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	First Command Insurance Services Inc.	745369	Agent - Life	1/27/2020
Active	First Command Insurance Services Inc.	745369	Agent - Health	1/27/2020
Denied	First Command Insurance Services Inc.	745369	Agent - Variable Life and Variable Annuities