DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, Edward George	DOIID	549379	NAIC NPN	7275150

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/11/2002	4/1/2010
Inactive	Resident	Agent	Life	5/28/2002	4/1/2010
Inactive	Resident	Agent	Property	8/25/2003	4/1/2010
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/27/2003	4/1/2010
Inactive	Resident	Agent	Casualty	8/25/2003	4/1/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/29/2003	11/20/2007
Denied	Allianz Life Insurance Company of North America	301791	Agent - Life
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/24/2004	4/1/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/24/2004	4/1/2010
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	11/3/2003	4/1/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/23/2008	4/1/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/23/2008	4/1/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/23/2008	4/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	4/1/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/20/2006	10/4/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/20/2006	10/4/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/9/2006	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/9/2006	11/6/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2006	4/1/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2006	4/1/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2006	4/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/4/2006	4/1/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/4/2006	4/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/23/2008	4/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/23/2008	4/1/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/29/2006	4/1/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/29/2006	4/1/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/17/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/17/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/1/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/23/2008	4/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/23/2008	4/1/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/7/2006	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/7/2006	11/26/2009
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	9/9/2003	12/15/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/24/2005	12/15/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/24/2005	12/15/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/10/2003	12/15/2008
Denied	Nationwide Life Insurance Company	300495	Agent - Life
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/27/2003	11/30/2008
Denied	Nationwide Life and Annuity Insurance Company	300714	Agent - Health
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/10/2004	12/15/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/25/2003	12/15/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/25/2003	12/15/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2003	12/15/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2003	12/15/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/25/2003	12/15/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/25/2003	12/15/2008
Inactive	Primerica Life Insurance Company	300970	Agent - Health	6/11/2002	4/14/2003
Inactive	Primerica Life Insurance Company	300970	Agent - Life	5/28/2002	4/14/2003
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/7/2007	12/15/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/7/2007	12/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Health	1/13/2005	4/1/2010
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Life	1/13/2005	4/1/2010
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Casualty	1/13/2005	12/15/2008
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Property	1/13/2005	12/15/2008