DEPARTMENT OF INSURANCE

Affiliations

Name	Shively, Blake Warren	DOIID	332373	NAIC NPN	511531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/5/1984		2/28/2026
Active	Resident	Agent	Property	8/15/2000		2/28/2026
Active	Resident	Agent	Casualty	8/15/2000		2/28/2026
Active	Resident	Agent	Life	11/5/1984		2/28/2026
Inactive	Resident	Agent	General Lines	11/5/1984	8/15/2000
* 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	AIG Assurance Company	300897	Agent - Casualty	7/15/2004	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/15/2004	10/2/2010
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/22/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/22/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/5/2019	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/5/2019	11/14/2021
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/4/2005	12/12/2006
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/21/2014
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/21/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/23/2012	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/23/2012	12/7/2017
Inactive	Continental General Insurance Company	300691	Agent - Health	3/28/1990	11/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	3/28/1990	11/7/2002
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	9/13/2021
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	3/15/1990	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	9/13/2021
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	8/6/1996	8/15/2000
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/14/2020	4/26/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/14/2020	4/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/14/2020	4/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/14/2020	4/26/2024
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/28/2007	10/19/2017
Inactive	First National Insurance Company of America	301690	Agent - Property	8/28/2007	10/19/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	5/28/1997	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	5/28/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/28/2007	10/19/2017
Inactive	General Insurance Company of America	300261	Agent - Property	8/28/2007	10/19/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/15/1990	12/2/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/15/1990	12/2/2002
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/31/2017
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/31/2017
Active	Grange Insurance Company	300234	Agent - Casualty	10/31/2017
Active	Grange Insurance Company	300234	Agent - Property	10/31/2017
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/31/2017	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/31/2017
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/31/2017
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	10/2/2010
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	2/16/1990	8/15/2000
Active	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000
Active	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	11/5/1984	8/15/2000
Active	GuideOne Insurance Company	301794	Agent - Property	8/15/2000
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	11/5/1984	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	11/5/1984	9/30/2003
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	2/16/1990	8/15/2000
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/21/2010	4/5/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/21/2010	4/5/2016
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/24/2014	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/24/2014	12/23/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/7/2012	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/7/2012	12/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/23/2006	11/7/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/23/2006	11/7/2007
Inactive	Humana Insurance Company	301104	Agent - Health	1/11/1994	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	1/11/1994	3/2/1999
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/17/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/17/2007	10/2/2010
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	3/28/1990	8/15/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/10/1995	3/31/1997
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/10/1995	3/31/1997
Active	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003
Active	Kansas City Life Insurance Company	301444	Agent - Life	6/11/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	4/23/2005	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/23/2005	7/14/2014
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/4/2019	1/24/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	2/4/2019	1/24/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/15/2010	12/15/2011
Active	National Casualty Company	301483	Agent - Health	11/25/2009
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/25/2009
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/25/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/5/2007	7/19/2010
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/6/2022
Active	Ohio Security Insurance Company	300622	Agent - Property	6/6/2022
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	10/2/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	10/2/2010
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/27/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	9/20/1990	3/31/1998
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/27/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/24/2003
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	11/23/1994	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/24/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/20/2000	12/4/2017
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/20/2000	12/4/2017
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	1/28/2025
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	1/28/2025
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	11/30/2017
Active	SAFECO Insurance Company of America	300159	Agent - Property	11/30/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/30/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/30/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/23/2006	12/14/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/23/2006	12/14/2012
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/11/2014
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/11/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/6/2018	1/24/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	4/6/2018	1/24/2021
Active	The Phoenix Insurance Company	301502	Agent - Casualty	2/13/2018
Active	The Phoenix Insurance Company	301502	Agent - Property	2/13/2018
Inactive	Time Insurance Company	300683	Agent - Health	7/13/2004	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/13/2004	12/20/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/11/2002	12/28/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/11/2002	12/28/2004
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/24/2008	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/24/2008	12/9/2013
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/24/2008
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/24/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/24/2008	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/24/2008	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/24/2008	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/24/2008	12/9/2013
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	1/28/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	1/28/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/31/2017
Active	Trustgard Insurance Company	300104	Agent - Property	10/31/2017
Inactive	Union Central Life Insurance Company	300307	Agent - Health	12/12/2005	8/27/2012
Inactive	Union Central Life Insurance Company	300307	Agent - Life	12/12/2005	8/27/2012
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/23/2004	4/17/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/23/2004	4/17/2006
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/29/2007	6/22/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/29/2007	6/22/2017
Active	Western Surety Company	300283	Agent - Casualty	8/15/2000
Inactive	Western Surety Company	300283	Agent - General Lines	4/1/1997	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	8/6/1996	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Career General Agency Inc.	399050	Agent - General Lines	11/30/1999	8/15/2000
Active	Career General Agency Inc.	399050	Agent - Life	11/30/1999
Active	Career General Agency Inc.	399050	Agent - Health	11/30/1999
Active	Career General Agency Inc.	399050	Agent - Property	8/15/2000
Active	Career General Agency Inc.	399050	Agent - Casualty	8/15/2000
Inactive	Career General Agency of Kentucky Inc.	398728	Agent - General Lines	6/8/1994	8/15/2000
Inactive	Career General Agency of Kentucky Inc.	398728	Agent - Property	8/15/2000	5/31/2004
Inactive	Career General Agency of Kentucky Inc.	398728	Agent - Casualty	8/15/2000	5/31/2004
Active	Louisville Insurance, LLC	790969	Agent - Life	10/20/2017
Active	Louisville Insurance, LLC	790969	Agent - Health	10/20/2017
Active	Louisville Insurance, LLC	790969	Agent - Property	10/20/2017
Active	Louisville Insurance, LLC	790969	Agent - Casualty	10/20/2017