DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	McCarver, Richard Shane	DOIID	315429	NAIC NPN	7162675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/22/2012	6/1/2016
Inactive	Resident	Agent	Life	8/22/2012	6/1/2016
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/15/2007	6/16/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/15/2007	6/16/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	4/11/2002	6/12/2002
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	4/11/2002	6/12/2002
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	6/11/2009	9/30/2009
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/30/2009	4/25/2011
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	5/9/2002	2/8/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	5/9/2002	2/8/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	5/9/2002	6/24/2002
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	8/6/2007	9/30/2008
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	8/6/2007	9/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	8/30/2004	3/31/2005
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	8/30/2004	3/31/2005