DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Shane A	DOIID	580884	NAIC NPN	7930084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/3/2006	4/4/2012
Inactive	Non Resident	Agent	Health	11/20/2003	4/4/2012
Inactive	Non Resident	Agent	Life	11/20/2003	4/4/2012
Inactive	Non Resident	Agent	Casualty	10/3/2006	4/4/2012
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/6/2007	7/2/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	3/6/2007	7/2/2009
Inactive	CSI Life Insurance Company	596032	Agent - Life	9/30/2009	4/27/2010
Inactive	Continental Casualty Company	301019	Agent - Health	12/15/2003	12/15/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/24/2006	5/26/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/24/2006	5/26/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	11/29/2004	4/4/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	4/4/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/7/2011	4/4/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/7/2011	4/4/2012
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	12/15/2003	12/15/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	12/15/2003	12/15/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	2/15/2007	5/26/2008
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	2/15/2007	3/8/2011
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Casualty	3/6/2007	7/2/2009
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Property	3/6/2007	7/2/2009