DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Utley, Shirley Ham	DOIID	364324	NAIC NPN	7197774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/2/1994	7/1/2004
Inactive	Resident	Agent	Health	2/2/1994	7/1/2004
* 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	Brighthouse Life Insurance Company	301829	Agent - Health	2/2/1994	1/2/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	2/2/1994	1/2/2003
Inactive	Chase Life and Annuity Company	300145	Agent - Health	7/13/1994	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	7/13/1994	12/11/1996
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/6/1995	8/25/1997
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/6/1995	8/25/1997
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	5/1/1996	1/2/2003
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	5/1/1996	1/2/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/8/1995	7/8/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/8/1995	7/8/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Life	4/7/1995	1/2/2003
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Health	4/7/1995	1/2/2003
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Denied	West Kentucky Group Benefits	401049	Agent - Life
Denied	West Kentucky Group Benefits	401049	Agent - Health