DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shuck, Haven R	DOIID	348739	NAIC NPN	2111993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/11/1996	2/28/2005
* 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 General Life Insurance Company of Delaware	301057	Agent - Life	3/28/2001	12/7/2002
Inactive	Aspida Life Insurance Company	301934	Agent - Life	7/11/1996	12/20/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/5/2001	2/28/2005
Inactive	PHL Variable Insurance Company	300525	Agent - Life	9/11/2001	4/18/2003
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	4/22/2002	2/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	6/3/2002	1/26/2005