DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Howard, Mitchell Shane	DOIID	556292	NAIC NPN	3102494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	11/3/2009	7/31/2011
Inactive	Resident	Agent	Life	11/3/2009	8/1/2011
Inactive	Resident	Agent	Health	11/3/2009	8/1/2011
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/18/2015	9/3/2015
Active	Resident	Staff Adjuster	Property & Casualty	9/3/2015		7/31/2025
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/2/2004	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/2/2004	11/22/2007
Inactive	American General Life Insurance Company	301585	Agent - Health	10/21/2002	1/17/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	10/21/2002	1/17/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/23/2002	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/23/2002	6/23/2008
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health		3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life		3/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefits Simplified, LLC	578256	Agent - Health	5/17/2004	6/23/2008
Inactive	Benefits Simplified, LLC	578256	Agent - Life	5/17/2004	6/23/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	9/14/2015
Inactive	Star Robbins & Company	395837	Agent - Health	6/13/2005	6/23/2008
Inactive	Star Robbins & Company	395837	Agent - Life	6/13/2005	6/23/2008

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Perdue, Karen Sue	375666	Apprentice Adjuster - Not Applicable	8/18/2015	9/3/2015