DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shipp, Jerry Allen	DOIID	305247	NAIC NPN	4759031

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/11/1986	12/1/2000
Inactive	Resident	Agent	Health	4/11/1986	12/1/2000
* 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	Investors Life Insurance Company of Indiana	301657	Agent - Health	8/23/1989	3/31/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	8/23/1989	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/25/1986	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/25/1986	10/31/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/11/1986	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/11/1986	5/20/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/19/1991	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/19/1991	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/8/1987	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/8/1987	12/1/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	2/28/1994	7/27/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	2/28/1994	7/27/1998
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	10/11/1991	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/8/1991	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/8/1991	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	12/1/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	12/1/2000