DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shafer, Frank Edward	DOIID	350409	NAIC NPN	1897340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/8/1992	12/31/2005
Inactive	Non Resident	Agent	Life	5/8/1992	12/31/2005
* 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 Fidelity Assurance Company	301004	Agent - Health	5/8/1992	6/30/2005
Inactive	American Fidelity Assurance Company	301004	Agent - Life	5/8/1992	6/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fidelity General Agency Inc.	399316	Agent - Life	9/13/1996	6/30/2005
Inactive	American Fidelity General Agency Inc.	399316	Agent - Health	9/13/1996	6/30/2005