DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Shawn Alan	DOIID	541636	NAIC NPN	7220294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/5/2003	1/31/2008
Inactive	Resident	Agent	Property	1/8/2004	1/31/2008
Inactive	Resident	Agent	Health	5/7/2003	1/31/2008
* 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 General Life Insurance Company	301585	Agent - Health	6/17/2005	1/31/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	6/17/2005	1/31/2008
Denied	American Income Life Insurance Company	300256	Agent - Health
Denied	American Income Life Insurance Company	300256	Agent - Life
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	4/13/2005	6/13/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/1/2005	1/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2005	1/31/2008
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/20/2002	1/20/2003
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	1/8/2004	4/25/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/22/2003	10/13/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/22/2003	10/13/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/22/2003	10/13/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/22/2003	10/13/2005
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/13/2004	1/31/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/13/2004	1/31/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/8/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/21/2003	1/31/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/7/2003	4/25/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/5/2003	4/25/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/16/2005	10/1/2007
Inactive	United American Insurance Company	300910	Agent - Health	3/22/2005	12/20/2006
Inactive	United American Insurance Company	300910	Agent - Life	3/22/2005	12/20/2006
Inactive		300277	Agent - Life	4/12/2006	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/5/2005	1/31/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/5/2005	1/31/2008