DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Shane William	DOIID	1179000	NAIC NPN	17206236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/17/2021	8/31/2024
* 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	Accendo Insurance Company	300312	Agent - Life	5/3/2022	8/31/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/23/2022	8/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	5/16/2022	10/22/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/14/2023	8/31/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/13/2023	8/31/2024
Inactive	United American Insurance Company	300910	Agent - Life	3/16/2023	6/28/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/21/2022	8/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024