DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Pending Replacement	Non Resident	Agent	Health	1/20/2022		4/30/2025
Pending Replacement	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	5/23/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/23/2022
Pending Replacement	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
Pending Replacement	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