DEPARTMENT OF INSURANCE

Affiliations

Name	Shelton, Gary Lane	DOIID	354653	NAIC NPN	2805329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	9/22/1993	8/15/2000
Inactive	Resident	Agent	Property	8/17/2009	8/1/2015
Inactive	Resident	Agent	Health	8/17/2009	8/1/2015
Inactive	Resident	Agent	Health Maintenance Organization	12/30/1998	8/9/1999
Inactive	Resident	Agent	Casualty	8/17/2009	8/1/2015
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	8/1/2009
Inactive	Resident	Agent	Life	8/17/2009	8/1/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/22/2004	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/22/2004	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	12/22/2004	8/1/2009
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/11/2004	8/1/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	8/1/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	8/1/2009
Inactive	American National General Insurance Company	301944	Agent - General Lines	5/20/1998	7/9/1998
Inactive	American National Insurance Company	301861	Agent - Health	5/13/1998	7/13/1998
Inactive	American National Insurance Company	301861	Agent - Life	5/13/1998	7/13/1998
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	5/20/1998	7/9/1998
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	5/3/2005	3/1/2007
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Variable Life and Variable Annuities	5/3/2005	3/1/2007
Inactive	Assurance Company of America	300432	Agent - Casualty	8/18/2004	8/1/2009
Inactive	Assurance Company of America	300432	Agent - Property	8/18/2004	8/1/2009
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/24/2005	4/1/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/20/2006	12/19/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/20/2006	12/19/2006
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	1/14/2000
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	1/14/2000
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	8/1/2009
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	2/16/2006	12/1/2006
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/17/2012	8/1/2015
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	4/16/1998	5/22/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/24/2003	1/13/2005
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/4/2009	8/1/2015
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/4/2009	8/1/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	9/4/2009	8/1/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Property	9/4/2009	8/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/15/2012	8/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/15/2012	8/1/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/15/2012	8/1/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/15/2012	8/1/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/15/2012	8/1/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/15/2012	8/1/2015
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/18/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/18/2004	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/25/2005	8/1/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/25/2005	8/1/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/14/2010	8/1/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/14/2010	8/1/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/11/2005	8/1/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/11/2005	8/1/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/11/2005	8/1/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/11/2005	8/1/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/30/1998	8/9/1999
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/1998	8/9/1999
Inactive	Humana Insurance Company	301104	Agent - Life	12/10/1998	8/9/1999
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/4/2006	11/18/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/4/2006	11/18/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	8/1/2009
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	9/23/2004	12/16/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	9/23/2004	12/16/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/7/2005	9/22/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/7/2005	9/22/2006
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	2/12/1998	1/27/2003
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/18/2004	8/1/2009
Inactive	Maryland Casualty Company	301719	Agent - Property	8/18/2004	8/1/2009
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	8/5/2004	1/13/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	8/1/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/18/2004	8/1/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/18/2004	8/1/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	8/1/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	8/1/2009
Inactive	Omni Indemnity Company	301456	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	3/11/2005	8/1/2009
Inactive	Omni Insurance Company	301545	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Omni Insurance Company	301545	Agent - Property	3/11/2005	8/1/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	6/2/2005	8/1/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	6/2/2005	8/1/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	8/1/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	8/1/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	8/1/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	8/1/2009
Inactive	RLI Insurance Company	301217	Agent - Casualty	8/15/2000	8/1/2009
Inactive	RLI Insurance Company	301217	Agent - General Lines	12/8/1998	8/15/2000
Inactive	RLI Insurance Company	301217	Agent - Property	8/15/2000	8/1/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/11/2005	8/1/2009
Inactive	Sentry Insurance Company	300222	Agent - Casualty	8/15/2000	1/13/2005
Inactive	Sentry Insurance Company	300222	Agent - General Lines	9/22/1993	8/15/2000
Inactive	Sentry Insurance Company	300222	Agent - Property	8/15/2000	1/13/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Health	9/22/1993	1/13/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Life	9/22/1993	1/13/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Variable Life and Variable Annuities	5/31/2001	1/13/2005
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	3/11/2005	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	3/11/2005	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/11/2005	8/1/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/11/2005	8/1/2009
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	9/20/2006	10/2/2007
Inactive	Union Bankers Insurance Company	301769	Agent - Health	1/10/2006	1/13/2009
Inactive	Union Bankers Insurance Company	301769	Agent - Life	1/10/2006	1/13/2009
Inactive	Washington National Insurance Company	300587	Agent - Health	7/11/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	7/11/1995	3/31/1997
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	8/1/2009
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	8/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/6/1995	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/6/1995	2/28/2003
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	10/30/1997	5/4/1998
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	10/30/1997	5/4/1998
Inactive	Medlink Inc	400721	Agent - Life	1/20/2005	8/1/2009
Inactive	Medlink Inc	400721	Agent - Health	1/20/2005	8/1/2009
Inactive	Parker Stevens Agency Inc.	399366	Agent - Life	2/18/1999	5/31/2004
Inactive	Parker Stevens Agency Inc.	399366	Agent - Health	2/18/1999	5/31/2004
Inactive	Parker Stevens Agency Inc.	399366	Agent - Property	12/10/2001	5/31/2004
Inactive	Parker Stevens Agency Inc.	399366	Agent - Casualty	12/10/2001	5/31/2004
Inactive	Taylor and Shelton Insurance, LLC	592078	Agent - Property	9/4/2009	8/1/2015
Inactive	Taylor and Shelton Insurance, LLC	592078	Agent - Casualty	9/4/2009	8/1/2015