DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shadeh, Chris	DOIID	355015	NAIC NPN	7193647

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Credit Life & Health	10/17/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/14/2001
Inactive	Resident	Agent	Life	7/21/2015	9/1/2017
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	2/28/1996	9/4/1996
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	10/17/1994	2/26/1996
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	12/9/1996	8/7/2000
Inactive	Heritage Life Insurance Company	300081	Agent - Limited Line Credit	8/7/2000	2/14/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bob Allen Chevrolet-Geo Inc.	399843	Agent - Credit Life & Health	3/27/1996	9/4/1996
Inactive	Nicholasville Performance Truck & Car	398549	Agent - Credit Life & Health	1/27/1997	8/7/2000
Inactive	Nicholasville Performance Truck & Car	398549	Agent - Limited Line Credit	8/7/2000	2/14/2001