DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marcum, Michael Shane	DOIID	313563	NAIC NPN	7161831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	3/14/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	10/31/2006
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	3/14/1997	4/14/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/14/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	10/31/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	1/1/2005	5/8/2006
Inactive	Protective Life Insurance Company	300638	Agent - Limited Line Credit	8/2/2005	10/31/2006
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	1/9/2003	8/26/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blue Grass Chrysler-Plymouth Inc.	398419	Agent - Credit Life & Health	4/24/1997	8/7/2000
Inactive	Blue Grass Chrysler-Plymouth Inc.	398419	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Blue Grass Used Cars	400543	Agent - Credit Life & Health	7/7/1997	8/7/2000
Inactive	Blue Grass Used Cars	400543	Agent - Limited Line Credit	8/7/2000	11/18/2002
Inactive	Rod Hatfield Chevrolet, LLC	561768	Agent - Limited Line Credit	1/30/2003	1/21/2004
Inactive	Shane Marcum Ford, LLC	599970	Agent - Limited Line Credit	12/14/2004	3/31/2006