DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shepherd, Jack Lee	DOIID	332488	NAIC NPN	7180328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	5/1/2016
Inactive	Resident	Agent	Health	12/7/2000	5/1/2016
Inactive	Resident	Agent	Property	8/15/2000	5/1/2016
Inactive	Resident	Agent	General Lines	1/10/1972	8/15/2000
Inactive	Resident	Agent	Life	1/10/1972	5/1/2016
* 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	Humana Health Plan, Inc.	300142	Agent - Health	1/10/2006	9/7/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/10/2006	9/7/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/10/2006	9/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	9/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	9/7/2012
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	3/11/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	1/10/1972	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	3/11/2015
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/18/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	1/10/1972	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/18/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	1/10/1972	3/11/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	3/11/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	1/10/1972	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/7/2000	3/11/2015
Inactive	Time Insurance Company	300683	Agent - Health	1/5/2001	3/5/2015
Inactive	Time Insurance Company	300683	Agent - Life	1/5/2001	3/5/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Placement Services Inc.	519096	Agent - Health	4/12/2001	2/25/2004