DEPARTMENT OF INSURANCE

Affiliations

Name	Shofner, Harry W	DOIID	306177	NAIC NPN	1488432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/2/1993	12/18/2000
Inactive	Resident	Agent	Life	9/2/1993	12/18/2000
* 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	All American Life Insurance Company	300702	Agent - Health	9/2/1993	7/10/1998
Inactive	All American Life Insurance Company	300702	Agent - Life	9/2/1993	7/10/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/2/1998	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/2/1998	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/1/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/1/1996	6/7/2000
Inactive	Aviva Life Insurance Company	301615	Agent - Health	5/1/1997	12/1/2000
Inactive	Aviva Life Insurance Company	301615	Agent - Life	5/1/1997	12/1/2000
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/13/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/13/1996	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	4/10/1997	12/31/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	4/10/1997	12/31/1998
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	9/15/1994	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	9/15/1994	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/27/1997	4/12/1999
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/27/1997	4/12/1999
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/21/1997	12/14/1998
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/21/1997	12/14/1998
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	5/7/1997	12/14/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/8/1993	12/1/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/8/1993	12/1/2000
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	2/11/1999	7/6/1999
Inactive	Modern Woodmen of America	301213	Agent - Life	8/29/1996	10/14/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/8/1994	1/27/1997
Inactive	National Financial Insurance Company	300555	Agent - Health	1/16/1997	3/26/1998
Inactive	National Financial Insurance Company	300555	Agent - Life	1/16/1997	3/26/1998
Inactive	National Health Insurance Company	300554	Agent - Health	3/5/1999	5/28/1999
Inactive	National Health Insurance Company	300554	Agent - Life	3/5/1999	5/28/1999
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	9/12/1995	3/31/1999
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	9/12/1995	3/31/1999
Inactive	Time Insurance Company	300683	Agent - Health	4/20/1999	12/18/2000
Inactive	Time Insurance Company	300683	Agent - Life	4/20/1999	12/18/2000
Inactive	Union Bankers Insurance Company	301769	Agent - Health	5/9/1997	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	5/9/1997	6/12/1998
Inactive	Union Security Insurance Company	301844	Agent - Health	9/9/1996	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	9/9/1996	12/1/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/3/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/3/1993	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Health	10/25/1994	12/1/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Life	10/25/1994	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	6/27/1996	12/1/2000
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	6/27/1996	12/1/2000