DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Irving Howard	DOIID	331864	NAIC NPN	59088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	2/21/1986	10/6/1997
Inactive	Resident	Agent	Life	11/28/1979	5/31/2007
Inactive	Resident	Agent	Health	11/28/1979	5/31/2007
Inactive	Resident	Life & Health Consultant	Not Applicable	7/13/1984	5/31/2007
* 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	Aetna Life Insurance Company	301140	Agent - Health	2/23/1993	3/31/1997
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/23/1993	3/31/1997
Inactive	All American Life Insurance Company	300702	Agent - Health	4/11/2000	12/19/2002
Inactive	All American Life Insurance Company	300702	Agent - Life	4/11/2000	12/19/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/24/2005	5/31/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/24/2005	5/31/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	8/15/1995	12/31/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	8/15/1995	12/31/1998
Inactive	American Fidelity Assurance Company	301004	Agent - Health	4/22/2002	11/4/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	4/22/2002	11/4/2004
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	5/31/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	4/20/2000	5/31/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	12/23/1997	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	12/23/1997	5/28/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/24/1995	12/21/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/24/1995	12/21/1998
Inactive	American Home Assurance Company	300246	Agent - Health	3/11/1991	7/12/2004
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Health	9/20/1985	10/26/1998
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	9/20/1985	10/26/1998
Inactive	American National Insurance Company	301861	Agent - Health	5/17/1999	5/31/2007
Inactive	American National Insurance Company	301861	Agent - Life	5/17/1999	5/31/2007
Inactive	American Network Insurance Company	301156	Agent - Health	6/29/1993	3/31/1997
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	4/27/1994	3/31/1999
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	4/27/1994	3/31/1999
Inactive	American United Life Insurance Company	300498	Agent - Health	2/19/2004	12/12/2006
Inactive	American United Life Insurance Company	300498	Agent - Life	2/19/2004	12/12/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/6/2001	2/28/2004
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/6/2001	2/28/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/30/1997	12/11/2000
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/30/1997	12/11/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/21/1999	3/30/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/21/1999	3/30/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	1/28/1998	10/5/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	1/28/1998	10/5/1998
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	4/6/2001	2/20/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	4/6/2001	2/20/2003
Inactive	Bankers Life Insurance Company	301784	Agent - Health	5/3/2000	11/27/2001
Inactive	Bankers Life Insurance Company	301784	Agent - Life	5/3/2000	11/27/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	1/21/1987	3/31/1997
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	1/21/1987	3/31/1997
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/13/1997	5/31/2007
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/26/1989	10/7/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/26/1989	10/7/2004
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	12/5/1990	12/17/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/5/1990	12/17/1998
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/27/1996	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/27/1996	4/9/2003
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	7/28/1992	6/19/1998
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	7/28/1992	6/19/1998
Inactive	Centre Life Insurance Company	300341	Agent - Health	10/1/1997	3/31/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/11/1996	4/28/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/13/2004	4/1/2007
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/6/2005	4/12/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/6/2005	4/12/2006
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	2/8/1990	5/31/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	2/8/1990	5/31/2007
Inactive	Clarendon National Insurance Company	300843	Agent - Health	4/20/2001	4/14/2005
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	7/20/1988	3/4/1999
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	7/20/1988	3/4/1999
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	4/8/1987	1/14/1997
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	4/8/1987	1/14/1997
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/13/1990	2/21/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/13/1990	2/21/2001
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/9/1995	4/16/2001
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/9/1995	4/16/2001
Inactive	Continental Casualty Company	301019	Agent - Health	11/12/1991	11/29/2004
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	4/8/1996	1/12/1998
Inactive	Delaware Life Insurance Company	301256	Agent - Life	12/31/2003	5/31/2007
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/12/2004	5/31/2007
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	10/20/2003	5/31/2007
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	5/4/1999	5/31/2007
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/4/1999	5/31/2007
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	8/26/1987	3/28/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/26/1987	3/28/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	12/19/1979	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/19/1979	1/1/2007
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/14/1990	3/31/1997
Inactive	First Health Life & Health Insurance Company	301735	Agent - Life	9/14/1990	3/31/1997
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/29/1996	3/16/2001
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/29/1996	3/16/2001
Inactive	General American Life Insurance Company	300280	Agent - Health	10/17/2000	5/31/2007
Inactive	General American Life Insurance Company	300280	Agent - Life	10/17/2000	5/31/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/31/1994	5/31/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/31/1994	5/31/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	7/16/1981	5/31/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	7/16/1981	5/31/2007
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/20/2004	11/15/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/20/2004	11/15/2006
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/29/1991	1/25/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/29/1991	1/25/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/19/1993	5/31/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/19/1993	5/31/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/21/1986	10/6/1997
Inactive	IL Annuity and Insurance Company	300772	Agent - Life	11/21/1996	6/30/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/14/2003	1/17/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/14/2003	1/17/2007
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	2/5/1997	7/18/2006
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	6/30/2003	3/21/2005
Inactive	Integrity Life Insurance Company	301687	Agent - Life	11/2/1994	5/31/2007
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/19/2004	5/31/2007
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/19/2004	5/31/2007
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	3/7/2000	12/31/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	3/7/2000	12/31/2003
Inactive	Keyport Life Insurance Company	300319	Agent - Life	10/17/1996	12/31/2003
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	12/8/1999	5/8/2002
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	12/8/1999	5/8/2002
Inactive	LifeSecure Insurance Company	301629	Agent - Health	7/5/1995	4/25/1996
Inactive	LifeSecure Insurance Company	301629	Agent - Life	7/5/1995	4/25/1996
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/28/1994	5/31/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/28/1994	5/31/2007
Inactive	Loyal Christian Benefit Association	300958	Agent - Life	9/14/1993	3/31/1996
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	6/21/1988	10/11/1999
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/17/1989	5/31/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/17/1989	5/31/2007
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	3/22/1984	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	3/22/1984	3/31/2001
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	4/24/2000	9/20/2002
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	4/24/2000	9/20/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/30/1997	5/31/2007
Inactive	National Casualty Company	301483	Agent - Health	2/12/1991	5/31/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/25/2003	7/13/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/25/2003	7/13/2005
Inactive	National Western Life Insurance Company	301515	Agent - Health	2/21/1997	7/21/1997
Inactive	National Western Life Insurance Company	301515	Agent - Life	2/21/1997	7/21/1997
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/30/1996	5/31/2007
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	2/10/1988	10/18/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/10/1988	10/18/2005
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	4/11/2000	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/11/2000	3/31/2003
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	11/28/1979	5/31/2007
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	11/28/1979	5/31/2007
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	2/17/1993	3/11/2002
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	3/19/1993	3/31/1997
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	3/19/1993	3/31/1997
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	9/17/1997	12/6/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	9/17/1997	12/6/2002
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	9/14/1993	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	9/14/1993	3/31/1997
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	12/3/2001	5/23/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	5/31/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	5/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/26/1991	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/26/1991	10/24/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/15/1998	5/31/2007
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/15/1998	5/31/2007
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	4/21/1988	3/31/1997
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	4/21/1988	3/31/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	7/13/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	7/13/2005
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	3/26/1986	5/31/2007
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	3/26/1986	5/31/2007
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	2/3/1995	11/15/1996
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	2/3/1995	11/15/1996
Inactive	Security Life Insurance Company of America	300936	Agent - Health	5/27/1998	5/31/2007
Inactive	Security Life Insurance Company of America	300936	Agent - Life	5/27/1998	5/31/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/31/1981	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/31/1981	10/1/2003
Inactive	Settlers Life Insurance Company	300189	Agent - Health	6/15/1993	12/31/1998
Inactive	Settlers Life Insurance Company	300189	Agent - Life	6/15/1993	12/31/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	6/7/1994	3/31/1997
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	6/7/1994	3/31/1997
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/17/2005	5/31/2007
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/17/2005	5/31/2007
Inactive	State Life Insurance Company	301497	Agent - Health	12/28/1999	5/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	12/28/1999	5/31/2007
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	7/23/2001	5/31/2007
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	7/23/2001	5/31/2007
Inactive	Texas Life Insurance Company	300345	Agent - Life	11/16/2000	5/17/2002
Inactive	Time Insurance Company	300683	Agent - Health	3/6/1984	5/31/2007
Inactive	Time Insurance Company	300683	Agent - Life	3/6/1984	5/31/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/15/1990	1/24/1996
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/15/1990	1/24/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/9/1992	3/31/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/9/1992	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/30/1993	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/30/1993	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/11/1992	5/31/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/11/1992	5/31/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/4/1993	11/29/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/4/1993	11/29/2005
Inactive	USG Annuity & Life Company	300457	Agent - Life	7/1/2002	1/1/2004
Inactive	Union Bankers Insurance Company	301769	Agent - Health	4/5/1989	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	4/5/1989	6/12/1998
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	4/22/1999	10/17/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	4/22/1999	10/17/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	8/27/1991	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Life	8/27/1991	3/31/1997
Inactive	United American Insurance Company	300910	Agent - Health	11/26/1991	12/23/2004
Inactive	United American Insurance Company	300910	Agent - Life	11/26/1991	12/23/2004
Inactive	United Home Life Insurance Company	300421	Agent - Health	10/5/1989	5/31/2007
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/5/1989	5/31/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	7/27/1990	2/5/2003
Inactive	United World Life Insurance Company	300532	Agent - Life	7/27/1990	2/5/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/24/1992	5/31/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/24/1992	5/31/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/14/1995	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/14/1995	11/21/2005
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	5/31/2007
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	3/11/1993	9/2/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	3/11/1993	9/2/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/3/2000	5/31/2007
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	11/18/1991	12/17/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	11/18/1991	12/17/2004
Inactive	Wilco Life Insurance Company	300122	Agent - Life	1/9/2002	5/7/2003
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	9/27/1995	12/28/1998
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	9/27/1995	12/28/1998
Inactive		300277	Agent - Health	5/4/1998	1/1/2007
Inactive		300277	Agent - Life	5/4/1998	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shaw American Financial Corporation	400750	Agent - Health	1/26/1994	5/31/2007
Inactive	Shaw American Financial Corporation	400750	Agent - Life	1/26/1994	5/31/2007