DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, David M	DOIID	551596	NAIC NPN	565895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/10/2002	8/13/2004
Inactive	Non Resident	Agent	Health	6/10/2002	8/13/2004
* 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	Genworth Life Insurance Company	300623	Agent - Health	5/4/2004	8/13/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/4/2004	8/13/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/17/2003	8/13/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/17/2003	8/13/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/9/2004	8/13/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/9/2004	8/13/2004
Inactive	USAA Life Insurance Company	300734	Agent - Health	6/10/2002	8/9/2004
Inactive	USAA Life Insurance Company	300734	Agent - Life	6/10/2002	8/9/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Life General Agency Inc	399318	Agent - Health	2/27/2003	8/13/2004
Inactive	USAA Life General Agency Inc	399318	Agent - Life	2/27/2003	8/13/2004