DEPARTMENT OF INSURANCE
Affiliations
NameShipley, Camden RDOIID313315NAIC NPN7161777
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth8/27/19916/26/1997 
InactiveResidentAgentLife9/18/201210/1/2014 
InactiveResidentAgentGeneral Lines8/28/19911/16/1998 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFederal Insurance Company301144Agent - General Lines2/23/19941/16/1998
InactiveFirst National Insurance Company of America301690Agent - General Lines8/28/19916/16/1997
InactiveGeneral Insurance Company of America300261Agent - General Lines4/10/19926/16/1997
InactiveGreat Northern Insurance Company301107Agent - General Lines2/23/19941/16/1998
InactiveKentucky Medical Insurance Company301260Agent - General Lines5/25/19956/4/1996
InactivePacific Indemnity Company301610Agent - General Lines2/18/19941/16/1998
InactiveSAFECO Insurance Company of America300159Agent - General Lines8/28/19916/16/1997
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines8/28/19916/16/1997
InactiveSAFECO National Insurance Company300989Agent - General Lines2/15/19921/16/1998
InactiveSymetra Life Insurance Company301691Agent - Health8/27/19916/26/1997
InactiveSymetra Life Insurance Company301691Agent - Life8/27/19916/26/1997
InactiveTime Insurance Company300683Agent - Health11/28/19943/31/1997
InactiveTime Insurance Company300683Agent - Life11/28/19943/31/1997
InactiveVigilant Insurance Company301143Agent - General Lines2/18/19941/16/1998
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKMA Insurance Agency Inc.401270Agent - General Lines6/26/19971/16/1998
InactiveKMA Insurance Agency Inc.401270Agent - Life4/28/19926/26/1997
InactiveKMA Insurance Agency Inc.401270Agent - Health4/28/19926/26/1997

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