DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Filer, Shelly Lee	DOIID	546505	NAIC NPN	7224682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/17/2002	4/7/2005
Inactive	Resident	Agent	Health	6/10/2002	4/7/2005
* 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	Anthem Life Insurance Company	301209	Agent - Health	6/10/2002	4/7/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/17/2002	4/7/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Ins Marketing Inc	398449	Agent - Health	8/30/2004	4/7/2005
Inactive	Benefit Ins Marketing Inc	398449	Agent - Life	8/30/2004	4/7/2005