DEPARTMENT OF INSURANCE

Affiliations

Name	Osborne, Shelby L	DOIID	385058	NAIC NPN	1926375

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/25/1995		2/28/2026
Active	Resident	Agent	Casualty	8/15/2000		2/28/2026
Active	Resident	Agent	Property	8/15/2000		2/28/2026
Active	Resident	Agent	Health	5/25/1995		2/28/2026
Inactive	Resident	Agent	Health Maintenance Organization	12/3/1996	3/1/2001
Inactive	Resident	Agent	General Lines	11/11/1993	8/15/2000
* 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	AF&L Insurance Company	301582	Agent - Health	6/3/2002	12/1/2006
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/30/2004	9/29/2010
Inactive	AIG Assurance Company	300897	Agent - Property	8/30/2004	9/29/2010
Inactive	Ability Insurance Company	301013	Agent - Health	3/18/2002	9/5/2008
Inactive	Ability Insurance Company	301013	Agent - Life	3/18/2002	9/5/2008
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	2/18/1999	12/1/2000
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	9/21/2010	11/1/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	9/21/2010	11/1/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/27/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	6/27/2017	8/11/2021
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	2/26/2003	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	2/26/2003	12/20/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/25/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/25/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/28/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/28/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/25/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/25/2015	11/14/2021
Inactive	American National General Insurance Company	301944	Agent - Casualty	6/25/2001	12/17/2001
Inactive	American National General Insurance Company	301944	Agent - Property	6/25/2001	12/17/2001
Inactive	American National Insurance Company	301861	Agent - Life	6/25/2001	6/3/2021
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	6/25/2001	12/17/2001
Inactive	American National Property and Casualty Company	300392	Agent - Property	6/25/2001	12/17/2001
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	10/5/2012	11/21/2024
Inactive	American Reliable Insurance Company	301889	Agent - Property	10/5/2012	11/21/2024
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/18/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/18/2016	11/14/2021
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	1/11/2006	1/13/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	1/11/2006	1/13/2014
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/5/2022	11/16/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/3/1996	3/1/2001
Active	Anthem Life Insurance Company	301209	Agent - Health	10/14/1996
Active	Anthem Life Insurance Company	301209	Agent - Life	10/14/1996
Inactive	Assurance Company of America	300432	Agent - Casualty	1/11/2006	1/13/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	7/18/1995	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	1/11/2006	1/13/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/4/1998	10/5/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/4/1998	10/5/1998
Active	Branch Insurance Exchange	1143306	Agent - Casualty	6/5/2024
Active	Branch Insurance Exchange	1143306	Agent - Property	6/5/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/21/2006	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/21/2006	12/20/2024
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/1/2002	12/10/2012
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/23/2019	1/9/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	2/4/2010	11/27/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	2/4/2010	11/27/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	1/23/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/9/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/9/2010	10/20/2011
Inactive	Continental General Insurance Company	300691	Agent - Health	7/9/2001	12/28/2004
Inactive	Continental General Insurance Company	300691	Agent - Life	7/9/2001	12/28/2004
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/27/2017
Active	Countryway Insurance Company	300809	Agent - Casualty	10/12/2004
Active	Countryway Insurance Company	300809	Agent - Property	10/12/2004
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/7/2004
Active	Dairyland Insurance Company	301370	Agent - Property	7/7/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	11/27/2010
Active	Encompass Insurance Company	300188	Agent - Casualty	2/24/2025
Active	Encompass Insurance Company	300188	Agent - Property	2/24/2025
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	6/12/2006	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	6/12/2006	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/12/2006	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/12/2006	12/30/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/29/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/29/2005	8/22/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/19/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	6/5/1996	8/15/2000
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/19/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/14/2007	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	9/14/2007	10/20/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/18/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/18/2004
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/20/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/20/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/20/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/20/2012	8/29/2018
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/14/2007	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	9/14/2007	10/20/2011
Active	Gerber Life Insurance Company	300529	Agent - Health	5/12/2017
Active	Gerber Life Insurance Company	300529	Agent - Life	5/12/2017
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	7/18/1995	3/31/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/1/2005	5/11/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/1/2005	5/11/2009
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/17/2013	3/5/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/17/2013	3/5/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/17/2013	3/5/2024
Inactive	Grange Insurance Company	300234	Agent - Property	6/17/2013	3/5/2024
Inactive	Grange Life Insurance Company	300128	Agent - Health	6/17/2013	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	6/17/2013	12/30/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/17/2013	3/5/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/17/2013	3/5/2024
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/27/2005	9/29/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	5/27/2005	9/29/2010
Inactive	Great American Insurance Company	301586	Agent - Casualty	6/3/2003	7/2/2007
Inactive	Great American Insurance Company	301586	Agent - Property	6/3/2003	7/2/2007
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	4/5/2022	4/6/2023
Inactive	Guaranty National Insurance Company	301419	Agent - Casualty	4/1/2002	12/28/2006
Inactive	Guaranty National Insurance Company	301419	Agent - Property	4/1/2002	12/28/2006
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	5/11/1998	8/15/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/26/2004	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	1/26/2004	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	1/26/2004	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/4/2010	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/4/2010	11/27/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	9/29/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	9/29/2010
Inactive	Independent Order of Foresters	300743	Agent - Life	5/12/2017	12/17/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/9/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	12/9/2010	2/3/2023
Inactive	Infinity Insurance Company	300416	Agent - Casualty	1/24/2006	3/18/2024
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	8/15/2000	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	4/8/1999	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	8/15/2000	10/15/2004
Active	Integon Indemnity Corporation	300674	Agent - Casualty	11/22/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	11/22/2024
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/17/1996	5/6/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/17/1996	5/6/1998
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/4/2010	11/27/2010
Active	Kansas City Life Insurance Company	301444	Agent - Life	10/1/2018
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/11/2002	7/3/2004
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	10/14/2002	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	10/14/2002	4/17/2006
Inactive	Maryland Casualty Company	301719	Agent - Casualty	1/11/2006	1/13/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	7/18/1995	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	1/11/2006	1/13/2014
Inactive	Medico Insurance Company	301559	Agent - Health	1/24/2007	9/5/2008
Inactive	Medico Insurance Company	301559	Agent - Life	1/24/2007	9/5/2008
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	4/22/1998	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	3/13/2001	3/9/2004
Inactive	Meridian Security Insurance Company	300423	Agent - Property	3/13/2001	3/9/2004
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	7/19/2007	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	6/5/1996	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	7/19/2007	12/30/2013
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/25/1995	2/18/1997
Active	National General Insurance Company	300152	Agent - Casualty	4/5/2013
Active	National General Insurance Company	300152	Agent - Property	4/5/2013
Inactive	National Insurance Association	301386	Agent - General Lines	11/11/1993	3/31/1998
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/9/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/9/2010	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/11/2006	1/13/2014
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	7/18/1995	3/31/1996
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/11/2006	1/13/2014
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	2/26/2003	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	2/26/2003	3/31/2003
Inactive	Omni Indemnity Company	301456	Agent - Casualty	12/7/2009	7/26/2016
Inactive	Omni Indemnity Company	301456	Agent - Property	12/7/2009	7/26/2016
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/19/2004	7/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/19/2004	7/17/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/9/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/9/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/9/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	12/9/2010	10/20/2011
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	3/10/1997	8/18/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	3/10/1997	8/18/2003
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Producers Agriculture Insurance Company	595288	Agent - Property	9/16/2022	11/11/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/16/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	10/16/2013
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	9/14/2007
Active	SAFECO Insurance Company of America	300159	Agent - Property	9/14/2007
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/14/2007
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/14/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	4/1/2002	8/30/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	4/1/2002	8/30/2007
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/29/2008
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	2/29/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	7/14/2006	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	7/14/2006	3/31/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/3/2001	10/11/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/3/2001	10/11/2006
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/22/2002	1/11/2010
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/9/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/9/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/27/2021
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	5/27/2021
Inactive	Titan Indemnity Company	300556	Agent - Casualty	3/3/2011	6/23/2017
Inactive	Titan Indemnity Company	300556	Agent - Property	3/3/2011	6/23/2017
Active	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	2/27/2009
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/22/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/17/2013	3/5/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/17/2013	3/5/2024
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/31/2019	12/11/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/31/2019	12/11/2020
Active	United Financial Casualty Company	301886	Agent - Casualty	10/16/2013
Active	United Financial Casualty Company	301886	Agent - Property	10/16/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/25/1995	2/18/1997
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/25/1995	2/18/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/10/2005	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/10/2005	6/11/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2007	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2007	6/23/2017
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/24/2003	12/3/2007
Active	Western Surety Company	300283	Agent - Casualty	6/19/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	1/24/2000	9/10/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	10/3/1996	12/10/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	10/3/1996	12/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/30/1998	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/30/1998	6/23/2008
Inactive	Autoinsurance Network, Inc.	398917	Agent - General Lines	3/31/1995	8/15/2000
Inactive	Autoinsurance Network, Inc.	398917	Agent - Property	8/15/2000	3/31/2016
Inactive	Autoinsurance Network, Inc.	398917	Agent - Casualty	8/15/2000	3/31/2016
Active	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	Shelby Osborne Insurance LLC	1120941	Agent - Property	3/2/2021
Active	Shelby Osborne Insurance LLC	1120941	Agent - Casualty	3/2/2021
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Health	4/24/2003	11/9/2009
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Life	4/24/2003	11/9/2009
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Property	4/24/2003	11/9/2009
Inactive	Thoroughbred Agency, Inc.	558022	Agent - Casualty	4/24/2003	11/9/2009