DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Lori	DOIID	337220	NAIC NPN	43252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	11/23/1998	10/28/1999
Inactive	Resident	Agent	Life	4/29/2014	9/1/2016
Inactive	Resident	Agent	Credit Personal Property & Unemployment	11/23/1998	11/2/1999
Inactive	Resident	Agent	Health	6/2/2011	9/1/2012
* 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	American Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	11/23/1998	11/2/1999
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	11/23/1998	10/28/1999
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/11/2007	8/31/2008
Inactive	American Income Life Insurance Company	300256	Agent - Health	11/13/1996	4/14/1997
Inactive	American Income Life Insurance Company	300256	Agent - Life	11/13/1996	4/14/1997
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	7/28/2006	8/8/2006
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	12/23/1997	7/24/1998
Inactive	First Alliance Insurance Company	301000	Agent - Life	4/27/1998	8/27/1998
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/9/1997	12/31/1998
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/9/1997	12/31/1998
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	6/2/2011	10/10/2011
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	5/5/2011	10/10/2011
Inactive	Life Insurance Company of Georgia	300267	Agent - Health	2/16/1996	12/9/1996
Inactive	Life Insurance Company of Georgia	300267	Agent - Life	2/16/1996	12/9/1996
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	4/8/2011	12/16/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/31/2011	5/25/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	2/7/1996	2/26/1996
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	2/7/1996	2/26/1996
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	2/8/1996	4/17/1996
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	2/8/1996	4/17/1996
Inactive	Omaha Insurance Company	751908	Agent - Health	3/27/2012	5/25/2012
Inactive	Royal Neighbors of America	301646	Agent - Life	6/26/2014	10/29/2015
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	2/27/1997	6/16/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	2/27/1997	6/16/1997
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/31/1995	2/26/1996
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/31/1995	2/26/1996
Inactive	United American Insurance Company	300910	Agent - Health	8/6/1998	12/31/1998
Inactive	United American Insurance Company	300910	Agent - Life	8/6/1998	12/31/1998
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	7/12/2006	11/15/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/31/2011	5/25/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/31/2011	5/25/2012
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/9/1996	3/18/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/9/1996	3/18/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bell Financial Inc.	399270	Agent - Life	2/26/1997	11/2/1999
Inactive	Bell Financial Inc.	399270	Agent - Health	2/26/1997	11/2/1999