DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Shawn David	DOIID	317228	NAIC NPN	7164664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/24/1999	7/1/2002
Inactive	Resident	Agent	Health	9/24/1999	7/1/2002
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/13/1999	7/1/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/13/1999	7/1/2002
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/12/2000	3/26/2001
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/12/2000	3/26/2001
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Continental General Insurance Company	300691	Agent - Health	3/2/2000	5/21/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	3/2/2000	5/21/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	10/13/1999	7/1/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	10/13/1999	7/1/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	1/12/2000	5/6/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	1/12/2000	5/6/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	9/24/1999	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/24/1999	7/1/2002
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	1/10/2000	6/22/2001
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	1/10/2000	6/22/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/3/1999	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/3/1999	7/1/2002