DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shipman, Larry Allen	DOIID	304218	NAIC NPN	3656985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/19/2015	11/30/2021
Inactive	Resident	Agent	Life	9/3/2015	11/30/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/6/2015	8/4/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/5/2015	8/4/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/25/2016	9/30/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/25/2016	9/30/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/21/2016	3/17/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/21/2016	3/17/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/21/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/21/2016	11/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2016	8/4/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2016	8/4/2021