DEPARTMENT OF INSURANCE

Affiliations

Name	Shelton, George Mitchell	DOIID	389911	NAIC NPN	3411077

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/18/1995	7/1/2002
Inactive	Resident	Agent	Life	9/18/1995	7/1/2002
* 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	Ability Insurance Company	301013	Agent - Health	1/8/2002	7/1/2002
Inactive	Ability Insurance Company	301013	Agent - Life	1/8/2002	7/1/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/10/2002	7/1/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/10/2002	7/1/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/23/1999	9/17/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/23/1999	9/17/2001
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	1/24/2002	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	10/29/1998	7/1/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/16/2000	7/1/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/16/2000	7/1/2002
Inactive	Life Insurance Company of Georgia	300267	Agent - Health	11/27/2000	9/26/2001
Inactive	Life Insurance Company of Georgia	300267	Agent - Life	11/27/2000	9/26/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/17/2001	7/1/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/25/2000	7/1/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/25/2000	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/9/1998	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/9/1998	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/25/2000	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/25/2000	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	12/6/2000	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	12/6/2000	7/1/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/4/2001	7/1/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/4/2001	7/1/2002
Inactive	Southland Life Insurance Company	301175	Agent - Health	11/27/2000	9/26/2001
Inactive	Southland Life Insurance Company	301175	Agent - Life	11/27/2000	9/26/2001
Inactive	State Mutual Insurance Company	300359	Agent - Health	1/26/1999	3/25/2002
Inactive	State Mutual Insurance Company	300359	Agent - Life	1/26/1999	3/25/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/18/1995	10/13/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/18/1995	10/13/1997
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/25/2000	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/25/2000	7/1/2002
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Health	5/18/2000	7/1/2002
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Life	5/18/2000	7/1/2002
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	6/23/1998	10/21/1999
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	6/23/1998	10/21/1999
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/30/2000	7/1/2002
Inactive		300277	Agent - Health	7/10/2000	7/1/2002
Inactive		300277	Agent - Life	7/10/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CCIT Insurance Services, LLC	541200	Agent - Life	12/20/2001	6/6/2002
Inactive	CCIT Insurance Services, LLC	541200	Agent - Health	12/20/2001	6/6/2002
Inactive	Senior American Benefits, LLC	502287	Agent - Life	11/15/2001	7/1/2002
Inactive	Senior American Benefits, LLC	502287	Agent - Health	11/15/2001	7/1/2002