DEPARTMENT OF INSURANCE

Affiliations

Name	Shannon, Robert Lee	DOIID	312292	NAIC NPN	2154326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/31/2006		2/28/2026
Active	Resident	Agent	Variable Life and Variable Annuities	7/31/2006		2/28/2026
Active	Resident	Agent	Health	7/31/2006		2/28/2026
Inactive	Resident	Agent	Health Maintenance Organization	1/4/2000	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/11/2001	7/1/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/14/2011	3/5/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/14/2011	3/5/2013
Inactive	Continental Casualty Company	301019	Agent - Health	10/27/2000	11/29/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/14/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	7/31/2006	6/30/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/31/2006	6/30/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	7/31/2006	6/30/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	8/10/2006	6/30/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	8/10/2006	6/30/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	8/10/2006	6/30/2011
Inactive	Equitable Financial Life and Annuity Company	301833	Agent - Life	5/7/1999	9/22/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/3/2000	7/1/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/3/2000	7/1/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/15/2002	7/1/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/15/2002	7/1/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/30/2006	7/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/4/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2006	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/30/2006	7/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/10/2006	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/10/2006	2/23/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	3/6/2007	5/22/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	3/6/2007	5/22/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	10/9/2009	6/8/2011
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	8/5/2002	7/1/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	8/5/2002	7/1/2006
Inactive	MONY Life Insurance Company	301141	Agent - Health	1/11/1999	3/15/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	1/11/1999	3/15/1999
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/1/2010	8/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/1/2010	8/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	11/1/2010	8/1/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/1/2010	8/1/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	11/1/2010	8/1/2011
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/19/2009	12/8/2017
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	5/19/2009	12/8/2017
Active	RiverSource Life Insurance Company	301952	Agent - Health	12/16/2011
Active	RiverSource Life Insurance Company	301952	Agent - Life	12/16/2011
Active	RiverSource Life Insurance Company	301952	Agent - Variable Life and Variable Annuities	12/16/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	7/1/2006
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	1/4/2000	10/1/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	9/25/2002	7/1/2006
Inactive	Medlink Inc	400721	Agent - Health	9/25/2002	7/1/2006
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	7/1/2006
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	7/1/2006