DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shively, Steven Eugene	DOIID	563304	NAIC NPN	7527886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/21/2003	1/27/2004
Inactive	Non Resident	Agent	Life	1/21/2003	1/27/2004
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/20/2003	1/27/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/20/2003	1/27/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/17/2003	1/27/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/17/2003	1/27/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2003	1/27/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2003	1/27/2004
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/4/2003	1/27/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Term Access, Inc.	511455	Agent - Health
Inactive	Term Access, Inc.	511455	Agent - Life	3/24/2003	1/27/2004