DEPARTMENT OF INSURANCE

Affiliations

Name	Flick, Shirley Louise	DOIID	369206	NAIC NPN	227984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/16/1998	9/30/2017
Inactive	Non Resident	Agent	Life	4/16/1998	9/30/2017
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/24/2001	5/7/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/24/2001	5/7/2013
Inactive	American General Life Insurance Company	301585	Agent - Health	12/29/2005	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	12/29/2005	10/25/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/29/2003	9/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/22/2015	12/13/2016
Inactive	Continental General Insurance Company	300691	Agent - Health	8/13/1998	11/1/2004
Inactive	Continental General Insurance Company	300691	Agent - Life	8/13/1998	11/1/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/22/2015	12/13/2016
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/11/1998	12/20/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/13/2004	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/13/2004	12/12/2008
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Health	4/16/1998	10/18/2017
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Life	4/16/1998	10/18/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/29/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2001	9/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/4/2001	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/4/2001	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/25/2006	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/25/2006	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/23/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/23/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/23/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/23/2012	12/5/2014
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	1/12/2000	4/13/2016
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	1/12/2000	4/13/2016
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	4/9/2001	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/4/2001	7/14/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/13/2004	6/15/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/13/2004	6/15/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/17/2004	11/27/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/17/2004	11/27/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/20/2000	12/26/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/15/2015	7/17/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	6/24/2013
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	3/19/2001	5/23/2012
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	3/19/2001	5/23/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/17/2000	9/30/2017
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/17/2000	9/30/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/25/2007	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/25/2007	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/25/2007	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/25/2007	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	10/5/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	10/5/2012
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	8/24/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	8/17/2000	10/1/2003
Inactive	Time Insurance Company	300683	Agent - Health	12/17/1999	9/30/2017
Inactive	Time Insurance Company	300683	Agent - Life	12/17/1999	9/30/2017
Inactive	United World Life Insurance Company	300532	Agent - Health	8/11/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/27/2000	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/27/2000	11/21/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/22/2005	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/22/2005	6/11/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Health	10/10/2007	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/10/2007	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	9/30/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	9/30/2017
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Life	5/13/2002	9/30/2017
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Health	5/13/2002	9/30/2017