DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Whitlock, Shirley	DOIID	1183967	NAIC NPN	19546869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/20/2022		4/30/2025
Active	Non Resident	Agent	Life	1/20/2022		4/30/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/23/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/23/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	5/23/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/18/2022	7/6/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/18/2022	7/6/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Health	1/22/2022	4/22/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	1/22/2022	4/22/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/12/2023	4/17/2024
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	4/20/2022	4/22/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/13/2023	8/2/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/23/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/24/2023	12/4/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/24/2023	12/4/2023

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	4/22/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024