DEPARTMENT OF INSURANCE
Affiliations
NameShawn, Richard JDOIID324251NAIC NPN7169883
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/12/1998 9/30/2024
ActiveResidentAgentHealth5/12/1998 9/30/2024
ActiveResidentAgentCasualty11/17/2003 9/30/2024
ActiveResidentAgentProperty11/17/2003 9/30/2024
InactiveResidentAgentGeneral Lines4/17/19983/2/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/10/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health10/10/2023 
ActiveAetna Life Insurance Company301140Agent - Health10/10/2023 
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/2/20236/6/2024
InactiveAmerican Continental Insurance Company643130Agent - Life1/16/201412/15/2020
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20195/28/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20195/28/2024
InactiveAmerican General Assurance Company300586Agent - Health12/27/20024/6/2011
InactiveAmerican General Assurance Company300586Agent - Life12/27/20024/6/2011
InactiveAmerican General Life Insurance Company301585Agent - Health3/6/201810/14/2022
InactiveAmerican General Life Insurance Company301585Agent - Life3/6/201810/14/2022
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Health11/12/200212/31/2002
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Life11/12/200212/31/2002
InactiveAmerican Memorial Life Insurance Company301445Agent - Life2/21/20123/26/2024
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life7/6/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/30/2021 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health2/24/2023 
InactiveAssurance Company of America300432Agent - Casualty3/10/20042/13/2006
InactiveAssurance Company of America300432Agent - Property3/10/20042/13/2006
InactiveBanner Life Insurance Company301696Agent - Life12/21/20118/21/2014
InactiveBlackboard Insurance Company301640Agent - Casualty3/10/20042/13/2006
InactiveBlackboard Insurance Company301640Agent - Property3/10/20042/13/2006
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
InactiveChase Insurance Life and Annuity Company300518Agent - Life1/20/20053/22/2006
ActiveCincinnati Life Insurance Company (The)300601Agent - Life7/24/2019 
ActiveColonial Life and Accident Insurance Company300846Agent - Health3/30/2024 
ActiveColonial Life and Accident Insurance Company300846Agent - Life3/30/2024 
InactiveColorado Bankers Life Insurance Company301845Agent - Health7/21/20092/13/2019
InactiveColorado Bankers Life Insurance Company301845Agent - Life7/21/20092/13/2019
ActiveColumbian Life Insurance Company300810Agent - Life4/24/2009 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Health Insurance Company301725Agent - Health7/8/200811/3/2009
InactiveConseco Health Insurance Company301725Agent - Life7/8/200811/3/2009
InactiveConseco Insurance Company301202Agent - Health7/8/200810/1/2010
InactiveConseco Insurance Company301202Agent - Life7/8/200810/1/2010
InactiveContinental Casualty Company301019Agent - Health4/9/200111/29/2004
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/201812/15/2020
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/5/2021 
InactiveFirst Colony Life Insurance Company301179Agent - Life5/26/200012/20/2006
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life3/15/200112/23/2008
InactiveGenworth Life Insurance Company300623Agent - Health1/2/200212/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life5/1/200212/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health5/19/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life5/19/201012/7/2012
ActiveGerber Life Insurance Company300529Agent - Health2/6/2017 
ActiveGerber Life Insurance Company300529Agent - Life2/6/2017 
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life1/2/20224/5/2023
ActiveGuarantee Trust Life Insurance Company301043Agent - Health4/7/2021 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life4/7/2021 
InactiveHartford Accident and Indemnity Company301917Agent - Casualty8/23/200511/2/2006
InactiveHartford Accident and Indemnity Company301917Agent - Property8/23/200511/2/2006
InactiveHartford Casualty Insurance Company301332Agent - Casualty8/23/200511/2/2006
InactiveHartford Casualty Insurance Company301332Agent - Property8/23/200511/2/2006
InactiveHartford Fire Insurance Company300628Agent - Casualty8/23/200511/2/2006
InactiveHartford Fire Insurance Company300628Agent - Property8/23/200511/2/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty8/23/200511/2/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Property8/23/200511/2/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/20/200412/11/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/20/200412/11/2009
InactiveHartford Underwriters Insurance Company301064Agent - Casualty8/23/200511/2/2006
InactiveHartford Underwriters Insurance Company301064Agent - Property8/23/200511/2/2006
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/4/2023 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/11/20217/26/2022
ActiveHumana Insurance Company301104Agent - Health10/20/2022 
InactiveHumana Medical Plan, Inc.801568Agent - Health8/11/20217/26/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health8/11/20217/26/2022
InactiveIllinois Mutual Life Insurance Company301479Agent - Health4/19/200212/15/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life4/19/200212/15/2003
InactiveIndependent Order of Foresters300743Agent - Life10/12/201612/11/2017
InactiveJohn Hancock Life Insurance Company300821Agent - Health7/25/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20086/8/2011
ActiveLiberty Bankers Life Insurance Company542461Agent - Life5/24/2017 
InactiveMaryland Casualty Company301719Agent - Casualty3/10/20042/13/2006
InactiveMaryland Casualty Company301719Agent - Property3/10/20042/13/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health2/19/200411/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life2/19/200411/26/2009
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/5/20155/22/2018
InactiveNorthern Insurance Company of New York301317Agent - Casualty3/10/20042/13/2006
InactiveNorthern Insurance Company of New York301317Agent - Property3/10/20042/13/2006
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life12/6/2021 
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life6/28/20013/31/2003
InactiveOpenly Insurance Company501694Agent - Casualty3/2/200411/1/2006
InactiveOpenly Insurance Company501694Agent - Property3/2/200411/1/2006
ActiveOxford Life Insurance Company301079Agent - Life1/13/2010 
InactivePacific Life Insurance Company301848Agent - Life4/24/200012/29/2006
ActivePan-American Assurance Company301533Agent - Health4/5/2004 
ActivePan-American Assurance Company301533Agent - Life4/5/2004 
ActivePan-American Life Insurance Company301530Agent - Health4/5/2004 
ActivePan-American Life Insurance Company301530Agent - Life4/5/2004 
InactivePhysicians Life Insurance Company300924Agent - Health6/5/20098/26/2009
InactivePhysicians Life Insurance Company300924Agent - Life6/5/20098/26/2009
InactivePhysicians Mutual Insurance Company301084Agent - Health6/5/20098/26/2009
InactivePrincipal Life Insurance Company300129Agent - Health4/24/200212/8/2008
InactivePrincipal Life Insurance Company300129Agent - Life4/24/200212/8/2008
InactiveProtective Life Insurance Company300638Agent - Health2/28/20022/7/2007
InactiveProtective Life Insurance Company300638Agent - Life2/28/20022/7/2007
InactivePruco Life Insurance Company300954Agent - Life7/29/201911/25/2020
InactiveReassure America Life Insurance Company301902Agent - Life5/22/20009/20/2004
InactiveReliaStar Life Insurance Company301712Agent - Life4/18/200011/3/2007
InactiveReserve National Insurance Company301073Agent - Health4/24/20138/3/2017
InactiveReserve National Insurance Company301073Agent - Life4/24/20138/3/2017
InactiveSAFECO Insurance Company of America300159Agent - Casualty7/27/20155/28/2024
InactiveSAFECO Insurance Company of America300159Agent - Property7/27/20155/28/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty7/27/20155/28/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property7/27/20155/28/2024
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life5/2/200010/1/2003
InactiveShelter General Insurance Company301109Agent - General Lines4/17/19983/2/2000
InactiveShelter Life Insurance Company300391Agent - Health5/12/19983/2/2000
InactiveShelter Life Insurance Company300391Agent - Life5/12/19983/2/2000
InactiveShelter Mutual Insurance Company301870Agent - General Lines4/17/19983/2/2000
ActiveSilverScript Insurance Company663526Agent - Health10/10/2023 
InactiveTexas Life Insurance Company300345Agent - Life6/2/20118/24/2012
ActiveTransamerica Life Insurance Company300571Agent - Health4/7/2024 
ActiveTransamerica Life Insurance Company300571Agent - Life4/7/2024 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/11/200212/28/2006
InactiveTrinity Life Insurance Company552459Agent - Life9/11/20183/26/2021
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/23/200511/2/2006
InactiveTwin City Fire Insurance Company300721Agent - Property8/23/200511/2/2006
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/4/200010/2/2007
InactiveUnderwriters at Lloyd's, London300658Agent - Casualty8/31/200510/8/2008
InactiveUnderwriters at Lloyd's, London300658Agent - Property8/31/200510/8/2008
InactiveUnited Home Life Insurance Company300421Agent - Life8/17/201512/15/2015
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/7/2021 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/7/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/7/202112/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/7/2021 
InactiveWashington National Insurance Company300587Agent - Health10/1/20102/27/2014
InactiveWashington National Insurance Company300587Agent - Life10/1/20102/27/2014
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/20/20194/8/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/20/20194/8/2021
InactiveWest Coast Life Insurance Company301607Agent - Health4/22/200512/8/2008
InactiveWest Coast Life Insurance Company301607Agent - Life4/22/200512/8/2008
InactiveWestern National Life Insurance Company300461Agent - Life4/30/200111/30/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAdvance Planning Partners LLC800713Agent - Life7/24/2013 
ActiveAdvance Planning Partners LLC800713Agent - Health5/7/2015 
ActiveAdvance Planning Partners LLC800713Agent - Casualty7/27/2015 
ActiveAdvance Planning Partners LLC800713Agent - Property7/27/2015 
ActiveCitadel Life Corporation Inc.1307687Agent - Life10/30/2023 
ActiveCitadel Life Corporation Inc.1307687Agent - Health10/30/2023 
ActiveDesignated Agent Company Inc.681257Agent - Life12/13/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/13/2013 
InactiveHyland Block & Hyland Inc.398511Agent - Casualty7/27/20158/1/2018
InactiveHyland Block & Hyland Inc.398511Agent - Property7/27/20158/1/2018
InactiveKMA Insurance Agency Inc.401270Agent - Life2/9/20042/14/2007
InactiveKMA Insurance Agency Inc.401270Agent - Health2/9/20042/14/2007
InactiveKMA Insurance Agency Inc.401270Agent - Casualty3/2/20042/14/2007
InactiveKMA Insurance Agency Inc.401270Agent - Property3/2/20042/14/2007
InactiveNational Insurance Agency Inc.401234Agent - Life1/4/20023/31/2021
InactiveNational Insurance Agency Inc.401234Agent - Health1/4/20023/31/2021
ActiveOrca Hc1127760Agent - Life4/5/2021 
ActiveOrca Hc1127760Agent - Health4/5/2021 

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