DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Shawna L	DOIID	564061	NAIC NPN	3166213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2007	10/31/2016
Inactive	Non Resident	Agent	Life	8/23/2007	10/31/2016
* 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	John Alden Life Insurance Company	300573	Agent - Health	3/17/2009	12/14/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/17/2009	12/14/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Marsh USA LLC.	514638	Agent - Health
Denied	Marsh USA LLC.	514638	Agent - Life
Denied	Mercer Health & Benefits LLC	607080	Agent - Health
Denied	Mercer Health & Benefits LLC	607080	Agent - Life