DEPARTMENT OF INSURANCE
Affiliations
NameShaw, David PatrickDOIID357702NAIC NPN829274
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/30/1985 10/31/2024
ActiveResidentAgentHealth1/30/1985 10/31/2024
InactiveResidentAgentHealth Maintenance Organization3/13/19857/14/1997 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcacia Life Insurance Company300375Agent - Health11/19/20087/1/2014
InactiveAcacia Life Insurance Company300375Agent - Life11/19/20087/1/2014
ActiveAll Savers Insurance Company301940Agent - Health10/30/2019 
ActiveAll Savers Insurance Company301940Agent - Life10/30/2019 
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/26/19951/30/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/26/19951/30/2010
ActiveAmerican General Life Insurance Company301585Agent - Health8/9/2015 
ActiveAmerican General Life Insurance Company301585Agent - Life8/9/2015 
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/15/20046/24/2008
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/15/20046/24/2008
ActiveAmerican United Life Insurance Company300498Agent - Health4/12/2004 
ActiveAmerican United Life Insurance Company300498Agent - Life4/12/2004 
ActiveAmeritas Life Insurance Corporation300126Agent - Health8/18/2008 
ActiveAmeritas Life Insurance Corporation300126Agent - Life8/18/2008 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health12/13/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health12/13/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health8/19/2020 
InactiveAssurity Life Insurance Company301099Agent - Health5/13/19991/27/2003
InactiveAssurity Life Insurance Company301099Agent - Life5/13/19991/27/2003
InactiveBankers United Life Assurance Company300296Agent - Health2/23/198812/31/2001
InactiveBankers United Life Assurance Company300296Agent - Life2/23/198812/31/2001
ActiveBanner Life Insurance Company301696Agent - Life10/27/2008 
InactiveBerkshire Life Insurance Company of America300983Agent - Health1/12/200610/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life1/12/200610/12/2020
ActiveBoston Mutual Life Insurance Company300143Agent - Health2/12/1998 
ActiveBoston Mutual Life Insurance Company300143Agent - Life2/12/1998 
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20141/26/2018
ActiveCHA HMO, Inc.300662Agent - Health10/17/2022 
InactiveChase Insurance Life and Annuity Company300518Agent - Health1/17/19893/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life1/17/19893/31/1997
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/201012/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health6/17/2021 
InactiveCompBenefits Insurance Company301864Agent - Life11/3/20107/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health12/13/2021 
InactiveDearborn Life Insurance Company300401Agent - Health1/30/200712/29/2009
InactiveDearborn Life Insurance Company300401Agent - Life12/8/200612/29/2009
ActiveDental Care Plus Inc.301495Agent - Health2/17/2006 
ActiveDental Concern Inc. (The)301641Agent - Health2/26/2007 
InactiveEverlake Life Insurance Company300873Agent - Health8/10/20047/6/2020
InactiveEverlake Life Insurance Company300873Agent - Life8/10/20047/6/2020
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health6/7/199512/20/2012
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life6/7/19952/24/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life9/27/20051/1/2007
InactiveGeneral American Life Insurance Company300280Agent - Health6/10/20041/4/2005
InactiveGeneral American Life Insurance Company300280Agent - Life6/10/20041/4/2005
InactiveGenworth Life Insurance Company300623Agent - Health1/19/201712/11/2018
InactiveGenworth Life Insurance Company300623Agent - Life1/19/201712/11/2018
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health2/18/20091/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20071/7/2014
ActiveGolden Rule Insurance Company301943Agent - Health8/23/2015 
ActiveGolden Rule Insurance Company301943Agent - Life8/23/2015 
InactiveGuarantee Life Insurance Company301560Agent - Health11/22/19889/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life11/22/19889/8/2000
ActiveGuardian Life Insurance Company of America301316Agent - Health1/12/2006 
ActiveGuardian Life Insurance Company of America301316Agent - Life1/12/2006 
InactiveHartford Life Group Insurance Company301708Agent - Health11/3/200512/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life11/3/200512/31/2006
ActiveHartford Life and Accident Insurance Company300878Agent - Health11/3/2005 
ActiveHartford Life and Accident Insurance Company300878Agent - Life11/3/2005 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/13/2020 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health1/13/2020 
ActiveHumana Health Plan, Inc.300142Agent - Health12/27/2004 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization3/13/19857/14/1997
ActiveHumana Insurance Company301104Agent - Health12/27/2004 
ActiveHumana Insurance Company301104Agent - Life12/27/2004 
ActiveHumana Insurance Company of Kentucky300826Agent - Health1/13/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life1/13/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health1/13/2020 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/13/2020 
InactiveHumanaDental Insurance Company301457Agent - Health12/19/20065/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life12/19/20065/13/2013
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/9/19957/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/9/19957/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health6/27/19953/14/1996
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life6/27/19953/14/1996
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/2/200812/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/2/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health3/1/20075/28/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/1/20075/28/2010
InactiveKanawha Insurance Company300127Agent - Health4/11/20081/22/2018
InactiveKanawha Insurance Company300127Agent - Life4/11/20081/22/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/15/201310/29/2015
InactiveLife Investors Insurance Company of America301793Agent - Health12/31/20018/28/2003
InactiveLife Investors Insurance Company of America301793Agent - Life12/31/20018/28/2003
InactiveLifeUSA Insurance Company300386Agent - Health9/26/19958/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life9/26/19958/2/2002
InactiveLincoln Benefit Life Company301110Agent - Health6/4/20047/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life6/4/20047/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/2007 
InactiveMBL Life Assurance Corporation301299Agent - Health3/7/19957/12/1999
InactiveMBL Life Assurance Corporation301299Agent - Life3/7/19957/12/1999
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/13/200911/20/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/12/201011/14/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health5/3/2004 
ActiveMetropolitan Life Insurance Company301948Agent - Life5/3/2004 
InactiveMidland National Life Insurance Company300923Agent - Health9/15/20094/14/2021
ActiveMidland National Life Insurance Company300923Agent - Life9/15/2009 
InactiveMutual of Omaha Insurance Company301012Agent - Health8/11/20108/22/2014
InactiveNassau Life Insurance Company301406Agent - Health3/25/19991/11/2002
InactiveNassau Life Insurance Company301406Agent - Life3/25/19991/11/2002
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life5/22/19973/31/2003
InactivePHL Variable Insurance Company300525Agent - Health1/18/19951/11/2002
InactivePHL Variable Insurance Company300525Agent - Life1/18/19951/11/2002
ActivePacific Life Insurance Company301848Agent - Life12/20/2022 
InactivePaul Revere Life Insurance Company300971Agent - Health12/18/199111/10/2004
InactivePaul Revere Life Insurance Company300971Agent - Life12/18/199111/10/2004
ActivePrincipal Life Insurance Company300129Agent - Health10/29/1993 
ActivePrincipal Life Insurance Company300129Agent - Life10/29/1993 
InactiveProtective Life Insurance Company300638Agent - Health3/11/201611/23/2023
InactiveProtective Life Insurance Company300638Agent - Life3/11/201611/23/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/30/19859/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/30/19859/9/2015
ActivePruco Life Insurance Company300954Agent - Health2/1/2007 
ActivePruco Life Insurance Company300954Agent - Life2/1/2007 
InactiveReliaStar Life Insurance Company301712Agent - Life1/31/20082/27/2016
ActiveReliance Standard Life Insurance Company300584Agent - Health5/29/2009 
ActiveReliance Standard Life Insurance Company300584Agent - Life5/29/2009 
InactiveSecurity Life of Denver Insurance Company300648Agent - Life1/31/20089/29/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health6/7/199412/30/1998
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life6/7/199412/30/1998
InactiveSun Life Assurance Company of Canada301811Agent - Health2/15/200712/21/2023
InactiveSun Life Assurance Company of Canada301811Agent - Life2/15/200712/21/2023
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health8/24/199912/21/2023
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life8/24/199912/21/2023
InactiveTime Insurance Company300683Agent - Health12/23/201411/25/2019
InactiveTime Insurance Company300683Agent - Life12/23/201411/25/2019
InactiveTransamerica Assurance Company300893Agent - Health9/17/200110/1/2004
InactiveTransamerica Assurance Company300893Agent - Life9/17/200110/1/2004
ActiveTransamerica Life Insurance Company300571Agent - Health6/27/2023 
ActiveTransamerica Life Insurance Company300571Agent - Life6/27/2023 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/8/200810/1/2008
InactiveU.S. Financial Life Insurance Company301812Agent - Health6/15/199212/21/1998
InactiveU.S. Financial Life Insurance Company301812Agent - Life6/15/199212/21/1998
InactiveUnion Central Life Insurance Company300307Agent - Health9/12/20017/1/2014
InactiveUnion Central Life Insurance Company300307Agent - Life9/12/20017/1/2014
InactiveUnion Security Insurance Company301844Agent - Health4/12/19951/20/2021
InactiveUnion Security Insurance Company301844Agent - Life4/12/19951/20/2021
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/23/19958/22/2014
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/15/2017 
ActiveUnitedHealthcare Insurance Company300946Agent - Life9/15/2017 
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health8/23/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life8/23/201511/4/2016
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/15/2017 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/31/2022 
InactiveWashington National Insurance Company300587Agent - Health12/24/201910/17/2022
InactiveWashington National Insurance Company300587Agent - Life12/24/201910/17/2022
InactiveWest Coast Life Insurance Company301607Agent - Life10/11/200611/16/2011
InactiveWoodmen Accident and Life Company300147Agent - Health12/19/19966/28/2000
InactiveWoodmen Accident and Life Company300147Agent - Life12/19/19966/28/2000
Inactive300277Agent - Health12/19/199612/31/1998
Inactive300277Agent - Life8/2/20041/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health1/20/2010 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
ActiveInsuranceworks Inc.399819Agent - Life10/16/1991 
ActiveInsuranceworks Inc.399819Agent - Health10/16/1991 
ActivePlanchoice Inc.400482Agent - Health4/17/2014 
InactiveSmith-Altman Insurance Inc.398218Agent - Life2/19/20033/31/2024
InactiveSmith-Altman Insurance Inc.398218Agent - Health2/19/20033/31/2024

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