DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shafer, Elizabeth Bryant	DOIID	568750	NAIC NPN	7680249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/8/2003	6/1/2011
Inactive	Resident	Agent	Casualty	5/23/2003	6/1/2011
Inactive	Resident	Agent	Property	5/30/2003	6/1/2011
Inactive	Resident	Agent	Life	7/2/2003	6/1/2011
* 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	Humana Insurance Company of Kentucky	300826	Agent - Health	11/8/2007	4/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/8/2007	4/15/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	4/9/2009	12/28/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	4/9/2009	12/28/2010
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	4/9/2009	11/18/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	4/9/2009	11/18/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	4/9/2009	12/28/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	4/9/2009	12/28/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/25/2007	10/21/2008
Inactive	Time Insurance Company	300683	Agent - Health	4/9/2009	12/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lowell Myers Insurance Agency, Inc.	546589	Agent - Casualty	1/19/2005	8/13/2007
Inactive	Lowell Myers Insurance Agency, Inc.	546589	Agent - Property	1/19/2005	8/13/2007
Inactive	Lowell Myers Insurance Agency, Inc.	546589	Agent - Health	1/19/2005	8/13/2007
Inactive	Lowell Myers Insurance Agency, Inc.	546589	Agent - Life	1/19/2005	8/13/2007