DEPARTMENT OF INSURANCE

Affiliations

Name	Medley, Shaun Patrick	DOIID	586130	NAIC NPN	8020234

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/27/2006	5/31/2008
Inactive	Resident	Agent	Life	9/27/2006	5/31/2008
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/2/2004	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/2/2004	7/1/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/10/2006	4/25/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/10/2006	4/25/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/21/2006	5/31/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/21/2006	5/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/23/2005	7/1/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/23/2005	7/1/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/18/2004	7/1/2006
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	10/20/2006	5/31/2008
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/20/2006	5/31/2008
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	5/10/2004	7/1/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/10/2004	7/1/2006
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	9/10/2007	5/31/2008
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	9/10/2007	5/31/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/27/2007	5/31/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/27/2007	5/31/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	3/3/2005	7/1/2006
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	3/3/2005	7/1/2006
Inactive	Time Insurance Company	300683	Agent - Health	7/22/2004	2/22/2005
Inactive	Time Insurance Company	300683	Agent - Life	7/22/2004	2/22/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/20/2006	5/23/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/20/2006	5/23/2008
Inactive	United Home Life Insurance Company	300421	Agent - Life	5/29/2007	5/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/23/2005	7/1/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/23/2005	7/1/2006
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Medlink Inc	400721	Agent - Health	2/28/2007	5/31/2008
Inactive	Medlink Inc	400721	Agent - Life	2/28/2007	5/31/2008