DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Buckley, Shelby	DOIID	1343547	NAIC NPN	21204339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/4/2024		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Life	11/26/2024
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/19/2024	2/12/2025
Active	Everly Life Insurance Company	561641	Agent - Life	1/2/2025
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/26/2024	2/19/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/6/2024	2/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Policygenius LLC	874468	Agent - Life	11/11/2024	2/10/2025