DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		7/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	05/15/2025	07/31/2025	01/06/2025	01/06/2025	Yes

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